桃红四物汤不同剂型治疗闭合性桡骨远端骨折早期气滞血瘀证临床研究
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R683.41

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浙江省杭州市医药卫生科技项目(0020190451)


Clinical Study on Different Preparations of Taohong Siwu Tang for Closed Distal Radius Fracture with Early Qi Stagnation and Blood Stasis Syndrome
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    摘要:

    目的:观察桃红四物汤不同剂型治疗闭合性桡骨远端骨折早期气滞血瘀证的临床疗效。方法:选取采用保守治疗的闭合性桡骨远端骨折气滞血瘀证患者120 例,随机分为2 组各60 例。2 组均给予手法复位夹板外固定治疗。传统汤剂组加用桃红四物汤传统汤剂治疗;配方颗粒组加用桃红四物汤配方颗粒治疗。2 组连续治疗7 d。比较2 组疼痛、肿胀度、气滞血瘀证主症(疼痛、肿胀、瘀斑) 评分,以及治疗结束后6 周腕关节功能。结果:治疗后,2 组疼痛VAS 评分、肿胀度、气滞血瘀证主症(疼痛、肿胀、瘀斑) 评分分别与治疗前比较,均显著减少,差异均有统计学意义(P<0.01);但治疗后传统汤剂组疼痛VAS评分、肿胀度、气滞血瘀证主症(疼痛、肿胀、瘀斑) 评分分别与配方颗粒组比较,差异均无统计学意义(P>0.05)。治疗结束后6 周,传统汤剂组和配方颗粒组腕关节功能优良率比较,差异无统计学意义(P>0.05)。结论:桃红四物汤配方颗粒和传统汤 剂治疗闭合性桡骨远端骨折早期气滞血瘀证的临床疗效相似。

    Abstract:

    Abstract:Objective:To observe the clinical effect of different preparations of Taohong Siwu tang for closed distal radius fracture with early qi stagnation and blood stasis syndrome. Methods: A total of 120 cases of patients with closed distal radius fracture with qi stagnation and blood stasis syndrome treated conservatively were randomly divided into two groups,60 cases in each group. Both groups were treated with manipulative reduction with external fixation by splint;the traditional decoction group was additionally treated with the traditional decoction of Taohong Siwu tang;the formula granules group was additionally treated with the formula granules of Taohong Siwu tang. Both groups were treated for seven days. The wrist function in six weeks after treatment as well as the scores of pain, swelling degree and the main symptoms of qi stagnation and blood stasis syndrome including pain,swelling and ecchymosis in the two groups were compared. Results: After treatment,the VAS scores of pain,the swelling degree and the scores of main symptoms of qi stagnation and blood stasis syndrome including pain, swelling and ecchymosis in the two groups were significantly decreased when compared with those before treatment, differences being significant(P<0.01); after treatment, there was no significant difference being found in the comparison of VAS scores of pain,swelling degree and the scores of main symptoms of qi stagnation and blood stasis syndrome including pain, swelling and ecchymosis between the two groups(P>0.05). In six weeks after treatment,there was no significant difference being found in the comparison of the superior rates of wrist function between the two groups(P>0.05). Conclusion:The formula granules and the traditional decoction of Taohong Siwu tang have similar clinical effect in treating closed distal radius fracture with early qi stagnation and blood stasis syndrome.

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沈佳炎,曾利红,董婷,施菁,张亚军,华利花.桃红四物汤不同剂型治疗闭合性桡骨远端骨折早期气滞血瘀证临床研究[J].新中医,2021,53(16):25-27

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  • 在线发布日期: 2021-08-23
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