张伟.改良三黄散外敷治疗闭合性胫腓骨骨折早期肿胀疗效观察[J].济宁医学院学报,2016,39(5):338-340 |
改良三黄散外敷治疗闭合性胫腓骨骨折早期肿胀疗效观察 |
Observation of modified Sanhuangsan on treating early swelling caused by closed fracture of tibia and fibula fracture curative |
投稿时间:2016-07-30 |
DOI:10.3969/j.issn.1000-9760.2016.05.010 |
中文关键词: 胫腓骨骨折;肿胀;三黄散 |
英文关键词: Fracture of tibia and fibula;Swelling;Sanhuangsan |
基金项目: |
作者 | 单位 | 张伟 | 巨野县人民医院, 巨野 274900 |
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中文摘要: |
目的 探讨改良三黄散外敷治疗闭合性胫腓骨骨折肢体早期肿胀的疗效。方法 将2012年3月至2016年2月闭合性胫腓骨骨折患者80例分为2组。A组40例应用50%硫酸镁注湿纱布湿敷。间断注入硫酸镁,持续湿敷,每24小时更换纱布。B组40例应用改良三黄散。组成:黄连10g,黄柏20g,大黄20g,芒硝1000g,冰片10g,地塞米松10mg装于药袋。将药袋围敷于患肢,每24小时更换,持续外敷。观察两组患者在患肢肿胀消退、疼痛程度及肢体肿胀周径恢复方面的差异。结果 B组在患肢肿胀消退、疼痛程度及肢体肿胀周径恢复方面优于A组,差异有统计学意义(P<0.05)。结论 闭合性胫腓骨骨折肢体早期肿胀外敷改良三黄散效果良好。 |
英文摘要: |
Objective To explore nursing effect of improved Sanhuangsan on treating limb swelling caused by fracture of tibia fibula. Methods 80 patients with fracture of tibia and fibula from March,2012 to February,2016 were divided into two groups.40 patients in group A were given wet application with 50% magnesium sulphate.40 patients in group B was treated with improved Sanhuangsan Including 1,000g mirabilite,10g borneol,10g coptidis rhizome,20g cortex phellodendri,20g rhubarb and 10mg dexamethasone.The drugs were put in a medicine bag which were put on injured limb with the exchange every 24h.This work compared the reduction of swelling,pain degree and swelling perimeter recovery of patients in two groups. Results The reduction of swelling,pain degree and swelling perimeter recovery of patients in group B were better than those in group A.The difference had statistical significance (P<0.05). Conclusion The improved Sanhuangsan had good nursing effect on limb swelling caused by fracture of tibia and fibula. |
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