Effects of traditional Chinese medicine fumigation on the clinical parameters of distal radius fracture in the elderly patients after manipulative reduction and external fixation with small splint
10.3760/cma.j.issn.1008-6706.2020.12.006
- VernacularTitle:中药熏洗对老年人桡骨远端骨折手法复位并小夹板外固定后临床指标的影响
- Author:
Huajie LIN
1
;
Yong JIN
;
Jinrong JIA
;
Zhiqiang ZOU
;
Junxiang HU
;
Hai YE
Author Information
1. 宁波市中医院骨伤科 315012
- From:
Chinese Journal of Primary Medicine and Pharmacy
2020;27(12):1431-1434
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of traditional Chinese medicine fumigation and washing on the clinical indicators of elderly patients with distal radius fractures after small splint fixation.Methods:From November 2015 to November 2018, 180 elderly patients with fracture of the distal radius in Ningbo Hospital of Traditional Chinese Medicine were selected, and they were divided into control group and observation group according to the random digital table method, with 90 cases in each group.The two groups were given manual reduction and small splint fixation treatment, and the observation group was treated with traditional Chinese medicine fumigation on the basis of the control group therapy.The related inflammatory cytokines in patients plasma and serum viscosity(TNF-α, IL-1, IL-6) were detected, and the clinical curative effect and adverse reactions were observed.Results:Before treatment, there were no statistically significant differences in plasma viscosity and blood inflammatory factors(TNF-α, IL-1, IL-6) between the two groups( t=-0.171, -0.126, 0.483, 0.459, all P>0.05). After treatment, the above indicators in the two groups were significantly lower than those before treatment(observation group: t=38.970, 14.684, 72.258, 53.612; control group: t=20.098, 19.045, 33.962, 34.822, all P<0.05), which in the observation group were lower than those in the control group ( t=-30.239, -7.043, -31.815, -10.359, all P<0.05). The total effective rate of the observation group was 88.88%(80/90), which was higher than 71.11%(64/90) of the control group, the difference was statistically significant between the two groups(χ2=8.889, P<0.05). Conclusion:For the elderly patients with distal radius fracture, the combination of reduction and small splint fixation and fumigation with traditional Chinese medicine can significantly improve the hemorheology of the patients and reduce the contents of inflammatory factors in the body, with significant efficacy and no adverse reactions, which is worthy of clinical application.
