肱骨近端骨折术后中医骨折三期疗法的疗效分析

目的 探讨肱骨近端骨折术后采用中医三期疗法辅助治疗对患者骨折的疗效及肩关节功能恢复的影响。方法 选取本院骨科手术治疗的135例肱骨近端骨折后行锁定钢板固定治疗的患者采用信封法随机分为中医组68例和常规组67例，中医组术后采用中医三期疗法，常规组采用常规康复疗法，对比两组患者术后骨折恢复效果及肩关节功能。结果 中医组的平均愈合时间（6.4±1.5）周显著短于常规组的（7.1±1.5）周，差异具有统计学意义（P<0.05）。术后1周、术后2周中医组的VAS评分显著低于常规组（P<0.05）；中医组患者的肿胀程度优良率89.7%显著高于常规组患者的76.1%（P<0.05）；术后6个月中医组患者的肩关节后伸、外展上举、外旋程度、运动范围、功能及Neer总分均显著优于常规组（P<0.05）。结论 肱骨近端骨折术后采用中医三期疗法辅助治疗有助于骨折愈合，促进肩关节功能恢复。

Effect of the Three Stage Treatment of Traditional Chinese Medicine after the Operation of Proximal Femoral Fractures

Objective To investigate the effect of three stage treatment on fracture and shoulder joint function recovery in patients with proximal humerus fracture treated with traditional Chinese medicine.Methods The 135 cases of proximal humerus fractures treated with locking plate fixation in orthopedic surgery of our hospital were selected and patients were randomly divided into two groups with envelope method:Chinese medicine group (68 cases) and routine group (67 cases).Chinese medicine group was given three stage treatment of TCM after operation in traditional Chinese medicine group,and routine group with conventional rehabilitation therapy.The postoperative fracture recovery effect and the function of the shoulder joint of patients were compared after operation.Results Chinese medicine group of the average healing time of (6.4±1.5) weeks was significantly shorter than the conventional group (7.1±1.5) weeks,the difference was statistically significant (P<0.05).The VAS scores in Chinese medicine group were significantly lower than the conventional group patients after operation of one weeks and two weeks (P<0.05).The excellent swelling rate 89.7% of Chinese medicine group was significantly higher than the 76.1% in conventional group (P<0.05).After six months of operation,the extension,abduction and upthrow,extorsion degree,range of motion,function of shoulder joint and Neer scores were significantly superior to the conventional group (P<0.05).Conclusion The three stage of adjuvant treatment of traditional Chinese medicine after proximal humerus fracture surgery helps healing and promotes functional recovery of the shoulder joint.