手术配合血府逐瘀汤治疗肋骨骨折的疗效研究(1)
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[摘要] 目的 探讨手术配合血府逐瘀汤治疗肋骨骨折的临床效果。方法 将52例肋骨骨折患者分为两组，对照组采用单纯的手术治疗，治疗组在手术治疗的基础上服用血府逐瘀汤进行治疗。结果 治疗组的有效率高于对照组，并且住院时间、疼痛时间及康复时间均明显少于对照组，差异有统计学意义(P<0.01)，两组住院费用无明显的统计学意义(P>0.05)，VC max，FEV1(L)，FVC(L)，FEV1/FVC，MMEF，MMEF，PEF治疗组水平明显高于对照组，差异有统计学意义(P<0.05)。 结论 手术配合血府逐瘀汤治疗肋骨骨折临床效果明显，可以有效减少肋骨骨折对远期肺功能的影响，并且不过多增加患者的经济负担，值得临床广泛推广应用。
[关键词] 肋骨骨折；手术；血府逐瘀汤
[中图分类号] R683.1 [文献标识码] B [文章编号] 1673-9701(2011)31-33-02
The Effect of Operation Combined with Chinese Medicine Xuefuzhuyu Decoction in Treatment of Rib Fractures
JANG Yuewu WU Guozheng GUO Liang
Department of Orthopedics,the People’s Hospital of Jiangshan City in Zhejiang Province, Jiangshan 324100, China
[Abstract] Objective To explore the operation combined with Xuefuzhuyu Decoction in the treatment of rib fractures. Methods Fifty-two cases of rib fractures patients were divided into two groups according to the request with the family, the control group using a simple of operation therapy, group therapy in operation treatment based on increase of Xuefuzhuyu decoction for treatment. Results The efficiency of the treatment group higher than that of the control group, and the time of hospitalization time, pain, and recovery time were significantly less than that the control group, the difference was statistically significant (P<0.01), hospitalization expenses of two groups were not significant(P>0.05)VC max, FEV1 ( L ), FVC ( L ), FEV1 / FVC, MMEF, MMEF, PEF treatment group was significantly higher than control group, there was significant difference is statistically significant (P<0.05). Conclusion Operation combined with Xuefuzhuyu decoction in the treatment of rib fractures clinical effect, can effectively reduce rib fractures on the long-term effects of lung function，and adding much the economic burden of the patients, and wide application in clinic.
[Key words] Rib fractures; Operation; Xuefuzhuyu decoction
肋骨骨折(rib fractures)为最常见的胸部创伤之一,以往的研究显示胸部伤员中40%～60%伴有肋骨骨折[1-2],其可以改变胸腔内压力及血流动力学,产生呼吸，循环生理紊乱,病情严重者可迅速死亡，保守治疗一般采用胸廓外固定治疗，但是外固定治疗常常造成治疗周期长，并发症增多，骨折稳定性差，容易造成胸廓畸形等缺点，为此我院采用手术配合中药治疗肋骨骨折取得了良好的临床效果 ......
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