[1]赵双利,王世轩△,李洪涛,等.补肾壮骨汤愈骨膏联合体外冲击波治疗胫骨骨不连疗效研究*[J].陕西中医,2019,(9):1229-1231.
ZHAO Shuangli,WANG Shixuan,LI Hongtao,et al.Clinical effect of Bushen Zhuanggu decoction and Yugu ointment combined with extracorporeal shockwave therapy in the treatment of tibial nonunion[J].,2019,(9):1229-1231.
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补肾壮骨汤愈骨膏联合体外冲击波治疗胫骨骨不连疗效研究*
《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]
- 卷:
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- 期数:
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2019年9期
- 页码:
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1229-1231
- 栏目:
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临床研究
- 出版日期:
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2019-09-05
文章信息/Info
- Title:
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Clinical effect of Bushen Zhuanggu decoction and Yugu ointment combined with extracorporeal shockwave therapy in the treatment of tibial nonunion
- 文章编号:
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DOI:10.3969/j.issn.10007369.2019.09.022
- 作者:
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赵双利; 王世轩△; 李洪涛; 王佳琦; 王东海; 张 帅
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辽宁中医药大学附属第二医院(沈阳 110034)
- Author(s):
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ZHAO Shuangli; WANG Shixuan; LI Hongtao; et al.
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Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine(Shenyang 110034)
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- 关键词:
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补肾壮骨汤; 愈骨膏; 体外冲击波; 胫骨; 骨不连; 中西医结合治疗
- Keywords:
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Key words Bushen Zhuanggu decoction; Yugu ointment; Extracorporeal shockwave therapy; Tibia; Nonunion; Combination of chinese and western medicine
- 分类号:
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R274
- 文献标志码:
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A
- 摘要:
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摘 要 目的:观察补肾壮骨汤、愈骨膏联合体外冲击波治疗胫骨骨不连的临床疗效。方法:选取胫骨骨不连患者68例,随机将其分为治疗组和对照组,每组34例。治疗组采用口服补肾壮骨汤、愈骨膏外敷联合体外冲击波治疗;对照组则采用单纯体外冲击波进行治疗,观察两组患者的临床治疗效果,对比治疗有效率、行走功能优良率、骨痂生长等级。结果:治疗组有效率为94.11%,对照组有效率为76.47%,比较差异有统计学意义(P<0.05)。治疗后6个月行走功能比较,治疗组优良率91.18%;对照组优良率70.59%,比较差异有统计学意义(P<0.05)。两组治疗后3、6个月的骨痂等级Femandezesteve放射评价评分对比,治疗组优于对照组,比较差异均有统计学意义(P<0.05)。结论:补肾壮骨汤、愈骨膏联合体外冲击波治疗胫骨骨不连,临床效果满意,优于单纯体外冲击波治疗。
- Abstract:
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Abstract Objective:To analyze the clinical effect of Bushen Zhuanggu decoction and Yugu ointment combined with extracorporeal shockwave therapy in the treatment of tibial nonunion.Methods:68 patients with tibial nonunion were randomly divided into treatment group and control group,with 34 patients in each group.The treatment group was treated with oral Bushen Zhuanggu decoction and external application of Yugu ointment combined with extracorporeal shock wave,while the control group was treated with extracorporeal shock wave alone.The clinical effect,excellent rate of walking function,effective rate and growth rate of callus were compared between the two groups.Results:The effective rate was 94.11% in the treatment group and 76.47% in the control group,significantly different after treatment (P<0.05).After 6 months of treatment,excellent and good rate was 91.18% in the treatment group and 70.59% in the control group,with significant difference (P<0.05).Femandezesteve radiation evaluation scores of the two groups were significantly different at 3 and 6 months after treatment (P<0.05).Conclusion:Combined treatment of Bushen Zhuanggu decoction and Yugu ointment with extracorporeal shock wave has satisfactory clinical effect and is superior to the treatment with extracorporeal shock wave alone.
参考文献/References:
[1] 李 培,张 亮.肌骨超声引导下应用体外冲击波联合PRP治疗骨不连初步探索[J] .医学与哲学,2018,39(9):1820.
[2] 金 鑫,谭勇海,张中禹,等.自体细胞生长因子注射联合体外体外冲击波治疗下肢骨折不愈合的临床研究[J] .中医正骨,2018,30(7):490493.
[3] 王 军,魏 华,张永飞,等.骨搬运技术治疗胫骨骨缺损疗效及影响因素分析[J] .中国骨与关节损伤杂志,2016,31(2) :164167.
[4] 陈 捷,段小军,黄振俊 ,等.骨肌疾病体外体外冲击波疗法中国专家共识[J] .中国医学前沿杂志,2017,9(2) :26.
[5] 国家中医药管理局.中医病证诊断疗效标准\[S\].南京:南京大学出版社,2012:151.
[6] 中华人民共和国卫生部.中药新药临床研究指导原则\[S\].北京:中国医药科技出版社,1993:301.
[7] 盛红枫,张培祥,张 魁,等.益肾活血方口服治疗胫骨下段骨折术后骨折不愈合[J] .中医正骨,2017,29(11):6162.
[8] 刘 严.桃红四物汤对骨折延迟愈合患者炎症反应和血液流变学的影响[J] .河南医学研究,2018,27(11):39653966.
[9] 武 雷.桃仁四物汤加减联合常规西医疗法对创伤骨折患者软组织修复及骨折愈合的影响[J] .陕西中医,2016,37(7):780781.
[10] 丁 涛,丁 伟.中药外敷结合高能体外体外冲击波治疗骨折延迟愈合疗效分析[J] .陕西中医,2017,38(10):14301431.
[11] 黄晶焕,李晓林.体外冲击波疗法治疗胫骨骨不连研究进展[J] .国际骨科学杂志,2018,39(1):1718.
[12] 李志华,丘青中.骨三脏汤结合冲击波治疗骨折延迟愈合的疗效观察[J] .湖北科技学院学报,2017,31(2):155157.
备注/Memo
- 备注/Memo:
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*第六批全国老中医药专家学术经验继承工作\[国中医药人教发(2017)29号\]
更新日期/Last Update:
2019-09-24