现代医药卫生2025，Vol.41Issue(7)：1564-1568,5.DOI:10.3969/j.issn.1009-5519.2025.07.006
中药熏洗对胫骨骨折患者疼痛及关节功能的影响研究
Study on the effect of traditional Chinese medicine fumigation and washing on pain and joint function in patients with tibial fractures
摘要
Abstract
Objective To observe the effects of traditional Chinese medicine fumigation and washing on pain and joint function in patients with tibial fracture.Methods A total of 116 patients with tibial fractures admitted to the Kaifeng Third People's Hospital/Xiangfu District First People's Hospital from January 2022 to June 2023 were selected using a double-blind method.The random sequence was generated by computer random grouping method,and it was classified as the routine group(58 cases)and the combined group(58 ca-ses)after allocation concealment.Both groups underwent internal fixation surgery.The conventional group re-ceived conventional manual reduction and internal fixation surgery,while the combined group underwent tradi-tional Chinese medicine steam bath therapy in conjunction with surgery postoperatively.After one year of fol-low-up,the two groups were compared in terms of knee pain,swelling severity,bone turnover markers,inci-dence of complications,and recovery of knee function.Results Under different treatment regimens,the Visual Analogue Scale(VAS)scores for postoperative pain at one and two weeks in the combined group were(3.85±0.24)and(2.52±0.36)points,respectively,both lower than those in the conventional group[(4.31±1.25)and(3.11±0.26)points].Knee joint swelling was(5.25±1.33)%and(1.06±0.28)%,re-spectively,both lower than the conventional group[(6.14±1.39)%and(2.11±0.46)%],with statistically significant differences(t=2.752,10.118,3.523,14.849,P<0.05).At the end of follow-up,the levels of os-teocalcin(OST),osteoprotegerin(OPG),and bone-specific alkaline phosphatase(BALP)in the combined group were(6.26±1.33),(2.35±0.36),and(15.33±3.29)μg/L,respectively,all higher than those in the conventional group[(5.36±1.27),(1.78±0.45),(13.26±3.34)μg/L],respectively.The C-terminal β-spe-cific sequence of type 1 collagen(β-CTX)was(0.75±0.12)ng/mL,which was lower than that in the conven-tional group[(1.36±0.48)ng/mL],with statistically significant differences(t=3.727,7.533,3.363,9.389,P<0.05).During the follow-up period,the incidence of complications in the combined group[3.45%(2/58)]was lower than that in the conventional group[20.69%(12/58)]with statistically significant differences(χ2=8.123,P<0.05);the knee function scores(Lysholm)at three and six months of follow-up in the com-bined group were(81.35±10.24)and(86.39±10.22)points,respectively,both higher than those of the con-ventional group[(76.35±10.22),(81.35±10.21)points];the knee joint subjective symptom scores(IKDC)were(77.23±10.25)and(82.35±10.26)points,respectively,both higher than the conventional group[(72.15±10.24),(77.49±10.23)points],with statistically significant differences(t=2.632,2.657,2.670,2.555;P<0.05).Conclusion The combination of traditional Chinese medicine fumigation and manual reduc-tion can alleviate postoperative swelling and pain in patients with tibial fractures,and has a positive effect on regulating bone metabolism,reducing the risk of complications and promoting the recovery of knee joint func-tion.关键词
胫骨骨折/中药熏洗/手法复位/骨代谢/膝关节功能Key words
Tibial fracture/Traditional Chinese medicine fumigation and washing/Manual reduc-tion/Bone metabolism/Knee joint function分类
医药卫生引用本文复制引用
王俊丽,卢学文..中药熏洗对胫骨骨折患者疼痛及关节功能的影响研究[J].现代医药卫生,2025,41(7):1564-1568,5.基金项目
河南省医学科技攻关项目(LHGJ2020202115). （LHGJ2020202115）
