接骨七厘片联合负压封闭引流技术治疗跗跖关节骨折脱位合并严重软组织损伤的临床观察

doi:10.3969/j.issn.1006-6233.2017.08.016

摘要
图/表
参考文献
相关文章 (1)

全文: PDF (1351 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要 目的: 观察接骨七厘片联合负压封闭引流技术(VSD)治疗跗跖关节骨折脱位合并严重软组织损伤的临床疗效。方法: 将跗跖关节骨折脱位合并严重软组织损伤的70例患者随机分为对照组与治疗组各35例,两组均采用解剖复位内固定术治疗。对照组术后进行常规创面换药、抗感染,治疗组术后口服接骨七厘片并创面负压封闭引流。结果: 两组患者术后7d疼痛、肿胀及瘀斑等症状评分及ESR、CRP等指标水平较术前降低,差异具有统计学意义(P<0.05),治疗组术后7d血浆黏度较术前降低(P<0.05),治疗组术后7d疼痛、肿胀及瘀斑等症状评分及血浆黏度、ESR、CRP等指标水平降低幅度大于对照组,差异具有统计学意义(P<0.05);治疗组软组织损伤术后7d总有效率及跗跖关节骨折脱位术后28d总有效率高于对照组,差异具有统计学意义(P<0.05)。结论: 接骨七厘片联合负压封闭引流技术能够显著改善跗跖关节骨折脱位合并严重软组织损伤的临床症状及临床理化指标水平,有助于促进软组织损伤的恢复跗跖关节骨折脱位的愈合。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	薛朝亚
	刘学辉
	高怀银

关键词 ：接骨七厘片, 负压封闭引流技术, 跗跖关节, 骨折脱位, 软组织损伤

Abstract：Objective: To observe the clinical effect of jie gu qi li pill combined with negative pressure occlusion technique (VSD) in the treatment of tarsal joint fractures with severe soft tissue injury. Methods: 70 patients with severe tarsus joint fracture and dislocation combined with severe soft tissue injury were randomly divided into control group and treatment group (35 cases for each group). Both groups were treated by anatomical reduction and internal fixation. The control group were treated with conventional wound dressing and anti-infection, while The patients in the treatment group were treated with jie gu qi li pill and negative pressure occlusion technique (VSD). Results: The two groups' scores of pain, swelling and ecchymosis were significantly lower than those before operation (P<0.05).and the plasma viscosity of the two groups was lower than that before operation (P<0.05). The effective rate of pain, swelling and ecchymosis, such as ESR and CRP, in the treatment group was significantly higher than that in the control group (P<0.05). The total effective rate was lower than that of the control group at 28 days after fracture and dislocation (P<0.05). Conclusion: The combination of jie gu qi li pill combined with negative pressure occlusion technique can significantly improve the clinical symptoms and clinical physical and chemical indexes of tarsal metatarsal joint fracture and dislocation with severe soft tissue injury and help to promote the recovery of soft tissue injury.

Key words： Jie gu qi li pill Negative pressure closed drainage technique Tarsal metatarsal joint Fracture and dislocation Soft tissue injury

基金资助:秦皇岛市科技计划项目,(编号:201602A233)

引用本文:

薛朝亚, 刘学辉, 高怀银. 接骨七厘片联合负压封闭引流技术治疗跗跖关节骨折脱位合并严重软组织损伤的临床观察[J]. 河北医学, 2017, 23(8): 1288-1291.
XUE Chaoya, LIU Xuehui, GAO Huaiyin. Clinical Observation on Treatment of Tarsus Joint Fracture and Dislocation Combined with Severe Soft Tissue Injury by jie gu qi li pill Combined with Negative Pressure and Drainage. 河北医学, 2017, 23(8): 1288-1291.

链接本文:

http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2017.08.016 或 http://www.hbyxzzs.cn/CN/Y2017/V23/I8/1288

[1] 周许辉,张咏,严望军,等.减压治疗跗跖关节骨折脱位合并前足筋膜间隙综合征:术后足弓形态及感觉运动功能恢复的评估[J].中国组织工程研究与临床康复,2007,11(4):711~713.
[2] 周许辉,贾连顺,谭军,等.关于跗跖关节骨折脱位治疗的再认识(附61例报告)[J].中国矫形外科杂志,2001,8(7):716~717.
[3] 徐建伟,周许辉,谭军,等.三种方法治疗跗跖关节骨折脱位的比较[J].临床骨科杂志,2001,4(4):270~273.
[4] 赵峰,王小莉,周盛杰.骨折内固定术后血沉变化原因的探讨[J].中国医学创新,2010,7(32):7~9.
[5] 郑银驹,范回生,张杰.活血解毒饮对骨折术后患者血沉、C-反应蛋白、TNF-α及IL-1的影响[J].中医药导报,2015,21(12):54~56.
[6] 郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002.339~345.
[7] 赵学文,黄超文.特制药带治疗闭合性骨折早期肢体肿胀的临床运用[J].中医药导报,2010,16(12):60~61.
[8] 张俐,ThomasMittlemeier,N.P.Haas,等.闭合性胫骨骨折骨膜微血管功能的动力学研究[J].中国骨伤,2003,16(8):449~451.
[9] 郑胜.加味复元活血汤促进胫腓骨骨折后润组织损伤修复的临床研究[D].青岛:青岛大学,2016.
[10] 罗毅文,段戡,刘向前,等.接骨七厘片促进骨折愈合临床试验研究[J].中国中医骨伤科杂志,1997,5(3):13~16.
[11] 姚明智.成骨细胞增殖和钙盐沉积能力:在接骨七厘片药物溶液中的反应[J].中国组织工程研究,2015,19(11):1694~1698.
[12] 胡小明.接骨七厘片改善股骨头坏死参数临床研究[J].现代诊断与治疗,2014,25(12):2807~2808.
[13] 罗宝宁,王国新.负压封闭引流技术治疗软组织缺损导致的开放性骨折的临床疗效观察[J].实用临床医药杂志,2017,21(1):115~116.
[14] 杨建国.骨创伤创面的治疗应用负压封闭引流技术的临床效果观察[J].中国现代药物应用,2016,10(16):84~85.