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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 |
XUE Chaoya, LIU Xuehui, GAO Huaiyin |
Qinhuangdao Military Medical Hospital, Hebei Qinhuangdao 066000, China |
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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.
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