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目的探讨中药与高压氧联合治疗早期骨筋膜室综合征患者的临床效果。方法选取2013年2月至2016年10月于大连医科大学附属第一医院进行治疗的66例早期骨筋膜室综合征患者作为研究对象,随机将其分为对照组和试验组,各33例。对照组患者给予常规方法进行治疗,试验组患者在对照组基础上采用中药联合高压氧进行治疗,比较两组患者临床治疗效果、治疗前后疼痛情况、肿胀消退时间以及住院时间。结果试验组患者治疗的总有效率为97.0%,明显高于对照组的78.8%,差异有统计学意义(P<0.05);治疗后,试验组患者疼痛视觉模拟量表(VAS)评分为(1.9±0.5)分,明显低于对照组的(3.4±0.9)分,差异有统计学意义(P<0.05);对照组患者肿胀消退时间为(24.5±0.9)d、住院时间为(29.8±5.4)d,试验组分别为(13.2±0.6)d和(18.3±2.2)d,试验组肿胀消退时间和住院时间均较短,差异均有统计学意义(均P<0.05)。结论中药与高压氧联合治疗早期骨筋膜室综合征临床效果显著,可有效减轻患者疼痛,缩短肿胀消退时间和住院时间,促进患者早日出院。
Objective To investigate the clinical effect of combined traditional Chinese medicine and hyperbaric oxygen on patients with early osteofascial compartment syndrome. Methods Sixty-six patients with early compartment syndrome were selected from February 2013 to October 2016 in the First Affiliated Hospital of Dalian Medical University. Patients were randomly divided into control group and trial group, with 33 cases in each group . Patients in the control group were treated by conventional methods. The patients in the test group were treated with traditional Chinese medicine combined with hyperbaric oxygen on the basis of the control group. The clinical effect, the pain before and after treatment, the regression time of swelling and the hospital stay were compared between the two groups. Results The total effective rate of treatment group was 97.0%, significantly higher than that of control group (78.8%), the difference was statistically significant (P <0.05). After treatment, the pain visual analog scale (VAS) 1.9 ± 0.5), which was significantly lower than that of the control group (3.4 ± 0.9), the difference was statistically significant (P <0.05). The swelling time of the control group was (24.5 ± 0.9) d and the length of stay was (29.8 ± 5.4) d. The test group was (13.2 ± 0.6) days and (18.3 ± 2.2) days respectively. The swelling and remission time and hospital stay in the experimental group were all shorter than those in the experimental group (all P <0.05). Conclusion The combination of traditional Chinese medicine and hyperbaric oxygen in the treatment of early osteofascial compartment syndrome has significant clinical effect, which can effectively reduce the pain, shorten the swelling and remission time and hospital stay, and promote the early discharge of patients.