| 藏药白脉软膏治疗桡骨远端骨折后腕关节功能障碍的病例对照研究 |
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投稿时间：2014-08-24
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| 作者 | Author | 单位 | Address | E-Mail |
| 张兴平 |
ZHANG Xing-ping |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China |
zhangxingpingzggs@163.com |
| 许根荣 |
XU Gen-rong |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China |
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| 徐善强 |
XU Shan-qiang |
四川省骨科医院, 四川 成都 610041 |
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| 卢泽明 |
LU Ze-ming |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China |
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| 黄磊 |
HUANG Lei |
北京市昌平区中西医结合医院, 北京 102208 |
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| 期刊信息：《中国骨伤》2014年，第27卷，第11期，第920-924页 |
| DOI：10.3969/j.issn.1003-0034.2014.11.009 |
| 基金项目: |
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中文摘要:
目的: 评价白脉软膏治疗桡骨远端骨折后腕关节功能障碍的有效性及安全性.
方法: 对2011年4月至2012年6月采用石膏外固定治疗桡骨远端骨折的43例患者按照随机数字表法进行随机分组,试验组21例,对照组22例.试验组男12例,女9例,平均年龄(45.4±14.3)岁;对照组男10例,女12例,平均年龄(50.2±15.0)岁.试验组在患肢热敷、功能锻炼的基础上给予白脉软膏外敷,对照组在患肢热敷、功能锻炼的基础上给予安慰剂外敷.每次使用药物前先用50～60 ℃的湿毛巾热敷患侧腕关节20 min,待皮肤上水分干燥后,于患侧腕关节掌横纹上下3 cm范围内均匀涂抹试验药物(约3 g),后针对腕关节的活动以及手部的活动进行功能锻炼,每8 h 涂药并锻炼1次,连续治疗并随访8周.采用视觉模拟评分法评估腕关节疼痛程度,采用骨科量角器测量腕关节活动度,采用握力计测量握力,采用Cooney评分表评估腕关节功能.
结果: 腕关节疼痛程度在治疗第7、14、28和56天时试验组优于对照组,握力在治疗第28、56天时试验组优于对照组,Cooney功能评估在治疗第56天时,试验组优于对照组,腕关节活动度在8周内两组差异无统计学意义.两组患者均无不良反应发生.
结论: 藏药白脉软膏外用治疗桡骨远端骨折后腕关节功能障碍能减轻腕关节疼痛程度,促进中后期握力恢复,促进后期腕关节功能恢复,外用安全性良好. |
| 【关键词】腕关节 中药外敷 桡骨骨折 功能恢复 病例对照研究 |
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| Case-control study on tibetan Baimai ointment(白脉软膏) for the treatment of wrist-dysfunction after distal radius fracture |
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ABSTRACT
Objective: To evaluate efficacy and safety of Baimai ointment(白脉软膏) in the treatment of wrist-dysfunction after distal radius fracture.
Methods: From April,2011 to June,2012,43 patients with distal radius fracture were treated with plaster fixation. All the patients were divided into two group:test group and control group. Twenty-one patients in test group and 22 in control group,and the baseline was balance(P >0.05). The 21 patients in test group were treated with Baimai ointment(白脉软膏),fomentation,functional exercises. The 22 patients in control group were treated with placebo,fomentation,functional exercises. Foment affected side wrist with wet towel in 20 min before medication,with the temperature between 50 ℃ and 60 ℃. Smear drugs uniformly in range of 3 cm in the vicinity of palm stripes after drying(about 3 g) and take functional exercises for the activities of wrist and hand. Continuous follow the program per 8 hours once and follow-up for 8 weeks. The wrist's pain was assessed with VAS. The wrist's activities were measured with the protractor of orthopedic. Measure The grip strength was measured with dynamometer. The wrist's function were assessed with the table of Cooney.
Results: The test group had a significantly better results than those of control group in the extent of wrist's pain throughout the treatment(P<0.001),and grip strength on the 28th day and the 56th day(P <0.05),and Cooney functional assessment on the 56th day(P <0.05). Wrist's activities had no significane difference throughout the 8 weeks(P >0.05). There were no drug adverse reactions occurred.
Conclusion: Tibetan Baimai ointment(白脉软膏) has the treatment of wrist-dysfunction after distal radius fracture for external use,which can reduce the extent of wrist's pain,promote grip strength recovery in the middle and late of process,promote wrist's function recovery latterly,and safety for external use. |
| KEY WORDS Wrist joint External applications(TCD) Radius fractures Recovery of function Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张兴平,许根荣,徐善强,卢泽明,黄磊.藏药白脉软膏治疗桡骨远端骨折后腕关节功能障碍的病例对照研究[J].中国骨伤,2014,27(11):920~924 |
| 英文格式: | ZHANG Xing-ping,XU Gen-rong,XU Shan-qiang,LU Ze-ming,HUANG Lei.Case-control study on tibetan Baimai ointment(白脉软膏) for the treatment of wrist-dysfunction after distal radius fracture[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(11):920~924 |
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