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目的:观察中西医结合疗法在胫骨平台骨折术后康复治疗中的临床效果。方法:收集在医院进行胫骨平台骨折手术的患者84例,采用随机数字表法将其分为两组,分别为观察组对照组,每组各42例,对照组进行单纯的西药治疗,观察组在西药治疗的基础上加用中药进行联合治疗,对两组患者的Lysholm膝关节评分、骨折愈合时间及临床疗效进行比较。结果:术后两组患者在Lysholm膝关节各项评分之间的差异均无统计学意义(P>0.05),而手术后3个月观察组患者的Lysholm膝关节评分在疼痛、上下楼能力、屈曲能力、肿胀、行走能力均高于对照组,且观察组的综合评分为(86.52±9.47)分,而对照组的综合评分为(73.70±11.02)分,差异均具有统计学意义(P<0.05);3个月内骨折愈合率观察组为57.14%,对照组为30.95%;观察的临床总有效率为95.2%,对照组的为78.6%;两组患者在3个月内骨折总愈合率及临床总有效率方面的差异均有统计学意义(P<0.05)。结论:中西医结合疗法在胫骨平台骨折术后患者的康复治疗中临床效果显著,可以减少患者的疼痛,提高临床治疗率,减少愈合时间。
Objective: To observe the clinical effect of integrated traditional Chinese and western medicine in rehabilitation treatment of tibial plateau fractures. Methods: Totally 84 patients with tibial plateau fractures collected in the hospital were divided into two groups according to the random number table. They were the observation group and the control group, 42 cases in each group. The control group was treated with western medicine only. The observation group On the basis of Western medicine plus traditional Chinese medicine for joint treatment, the two groups of patients Lysholm knee score, fracture healing time and clinical efficacy were compared. Results: There was no significant difference in scores of Lysholm knee between the two groups after operation (P> 0.05), but the scores of Lysholm knee in observation group at 3 months after surgery showed significant differences in pain, The total score of the observation group was (86.52 ± 9.47) points, while that of the control group was (73.70 ± 11.02) points, the differences were statistically significant (P < 0.05). The rate of fracture healing within 3 months was 57.14% in the observation group and 30.95% in the control group. The observed total effective rate was 95.2% in the observation group and 78.6% in the control group. The fracture healing in both groups within 3 months Rate and total clinical efficiency differences were statistically significant (P <0.05). Conclusion: Integrative Chinese and Western medicine in the treatment of patients with tibial plateau fracture after the clinical treatment of significant effect, can reduce the patient’s pain and improve the clinical treatment rate and reduce the healing time.