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舒经活血汤联合解剖钢板内固定治疗胫骨平台骨折的疗效及对TGF-p表达的影响

胡宏普

吉林中医药2017,Vol.37Issue(4):370-373,4.
吉林中医药2017,Vol.37Issue(4):370-373,4.DOI:10.13463/j.cnki.jlzyy.2017.04.0014

舒经活血汤联合解剖钢板内固定治疗胫骨平台骨折的疗效及对TGF-p表达的影响

Effects of Shujing Huoxue decoction combined with anatomic plate internal fixation on tibial plateau fracture and TGF-β expression

胡宏普1

作者信息

  • 1. 河南省偃师市中医院骨伤科,河南偃师471900
  • 折叠

摘要

Abstract

Objective To observe the effect ofShujing Huoxue decoction combined with anatomical plate internal fixation on bone metabolism,hemorheology,coagulation indexes and TGF-β expression in tibial plateau fracture.Methods 90 cases of tibial plateau fractures in our hospital were sdected and divided into observation group (n=45) The control group was treated with anatomical plate internal fixation,the observation group increased shujing huoxue decdtion on the basis of the control group.The knee function recovery.Changes of bone metabolism,hemorrheology,coagulation and TGF-β were compared between the two groups before and after operation.Results Compared with before operation,the total score of HSS,BALP and TGF-β levels were significantly increased,β-CTX level,high,middle and low shear whole blood viscosity,erythrocyte sedimentation rate,plasma viscosity,erythrocyte electrophoresis and hematocrit levels were significantly lower,and the difference between the two groups was significant (P<0.05 or P<0.01).Compared with before operation,the level of 6-Keto-PGFlα in observation group was significantly increased,the levels of TXB2 and TXB2/6-Keto-PGFlα were significantly decreased,the 6-KetoPGF1,TXB2 and TXB2/6-Keto-PGF1 α in the control group were no significant difference before and after operation (P>0.05),but the difference between the two groups was significant (P<0.01).Conclusion The treatment of tibial plateau fracture with anatomical plate internal fixation combined with Shujing Huoxue decoction can significantly improve the blood rheology of the body,improve the level of TGF-[β,and then accelerate the bone healing.

关键词

骨折/骨折固定术/胫骨平台/解剖钢板内固定/舒经活血汤/血流变学/骨代谢

Key words

fractura/fracture fixation/tibial plateau/anatomical plate internal fixation/Shujing Huoxue decoction/hemorheology/bone metabolism

分类

医药卫生

引用本文复制引用

胡宏普..舒经活血汤联合解剖钢板内固定治疗胫骨平台骨折的疗效及对TGF-p表达的影响[J].吉林中医药,2017,37(4):370-373,4.

基金项目

河南省自然科学研究计划项目(201310471055). (201310471055)

吉林中医药

OACSTPCD

1003-5699

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