桃红四物汤加味联合微创锁定钢板内固定术治疗胫骨中下段骨折临床观察

目的观察桃红四物汤加味联合微创锁定钢板内固定术治疗胫骨中下段骨折的临床疗效。方法将54例胫骨中下段骨折患者按随机数字法分为观察组和对照组,每组27例;观察组采用口服桃红四物汤加味+微创锁定钢板内固定术治疗,对照组采用常规微创锁定钢板内固定术治疗,观察治疗前后患者患侧小腿肿胀程度及2个月后踝关节功能美国足踝协会(American Orthopedic Foot and Ankle Society,AOFAS)量表评分并比较两组患者的临床疗效。结果与伤后24h比较,两组患者术后1周下肢肿胀度均明显减轻(P<0.05);观察组患者术后1周下肢肿胀度降低程度明显大于对照组(P<0.05)。两组患者基于AOFAS量表评分的疗效比较,差异无统计学意义(P>0.05)。两组患者临床疗效分布比较,差异有统计学意义(P<0.05)。结论桃红四物汤加味联合微创锁定钢板内固定术治疗胫骨中下段骨折疗效优于常规微创锁定钢板内固定术,能有效缓解肿胀,改善患肢功能。

Clinical Effect of Jiawei Taohong Siwu Decoction Combined with Minimally Invasive Locking Plate Internal Fixation in Treatment of Middle and Lower Tibial Fractures

Objective To investigate the clinical effect of Jiawei Taohong Siwu Decoction combined with minimally invasive locking plate internal fixation in the treatment of middle and lower tibial fractures. Methods A total of 54 patients with middle and lower tibial fractures were divided into observation group and control group using a random number table, with 27 patients in each group. The patients in the observation group were treated with oral Jiawei Taohong Siwu Decoction and minimally invasive locking plate internal fixation, and those in the control group were treated with conventional minimally invasive locking plate internal fixation. The degree of calf swelling at the affected side was observed before and after treatment, the American Orthopedic Foot and Ankle Society (AOFAS) score of ankle joint function was evaluated at 2 months after treatment, and the clinical outcome was compared between the two groups. Results Both groups had a significant reduction in the degree of lower limb swelling from 24 hours after trauma to 1 week after surgery (P<0.05), and the observation group had a significantly greater reduction than the control group (P<0.05). There was no significant difference between the two groups in the clinical outcome based on AOFAS score (P>0.05). There was a significant difference in the distribution of clinical outcomes between the two groups (P<0.05). Conclusion Jiawei Taohong Siwu Decoction combined with minimally invasive locking plate internal fixation has a better clinical effect than conventional minimally invasive locking plate internal fixation in the treatment of middle and lower tibial fractures and can effectively relieve swelling and improve the function of affected limbs.