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目的探讨中西医结合治疗胫骨平台骨折的临床效果。方法将我院2008年5月至2010年8月收治的52例胫骨平台骨折患者随机分成两组,对照组(26例)采用手术固定、功能恢复练习治疗,治疗组(26例)在此基础上加中药调理,对比两组治疗效果。结果按照Merchant评分标准:治疗组优14例,良10例,中2例,差0例,优良率为92.3;对照组优12例,良9例,中3例,差2例,优良率80.7,优良率比较有显著统计学差异(P<0.05)。结论掌握手术适应证、坚强内固定和塌陷骨折复位术、术后早期功能锻炼恢复膝关节屈伸功能以及配合中医药分期辨证施治,是治疗胫骨平台骨折行之有效的方法。
Objective To explore the clinical effect of integrated traditional Chinese and western medicine in the treatment of tibial plateau fractures. Methods Fifty-two patients with tibial plateau fractures admitted from May 2008 to August 2010 in our hospital were randomly divided into two groups. The control group (26 cases) was treated by surgical fixation and functional rehabilitation. The treatment group (26 cases) Add Chinese medicine conditioning, the two groups compared the therapeutic effect. Results According to the criteria of Merchant, there were 14 excellent cases, 10 good cases, 2 fair cases and 0 poor cases. The excellent and good rate was 92.3. The control group had 12 cases excellent, 9 good, 3 fair and 2 poor. The excellent and good rate was 80.7 , There was a significant difference between the excellent and good rates (P <0.05). Conclusion It is an effective method for the treatment of tibial plateau fractures to master the surgical indications, rigid internal fixation and collapse fracture reduction, postoperative early functional exercise to restore knee joint flexion and extension functions and with traditional Chinese medicine staging syndrome differentiation.