CN105616052A - Treatment method for promoting healing of distal radius fracture - Google Patents

Abstract

The invention relates to a treatment method for promoting healing of distal radius fracture. Manipulative reduction is performed by means of Zhuangjin bugu pills, small splints are used for external fixation, and medicines for external application are not required. After fracture reduction and fixation, a patient orally takes Zhuangjin bugu pills ((2001) approval number 3P-066, Food and Drug Administration of Shenzhen Municipality) three times one day, 6 g of the pills are taken each time, and the patient needs to take the pills for 21 d continuously and cannot take other internal medicines; the tightness of a bandage tied on the splints is adjusted once every three days in one week after fracture reduction and fixation, and afterwards, the tightness is adjusted once every week until the splint fixation is removed after clinic healing of fracture. The tightness of the bandage tied on the splints is adjusted in the standard that the tied bandage can move up and down for 1 cm.

Description

A kind of promotion radius far-end fracture healing therapy method

Technical field

The present invention relates to a kind of Therapeutic Method promoting radius far-end fracture to heal, specifically a kind of Therapeutic Method promoting radius far-end fracture to heal.

Background technology

Currently known union of fracture is a complicated process, and Chinese scholars is all constantly exploring union of fracture mechanism, the effort for shortening healing time for a long time. The relevant experimentation of recent year shows, with invigorating kidney, promoting blood circulation act as main synthetism side's medicine can stimulating osteoblast IGFI secretion and promote union of fracture. It act as main square medicine with benefiting QI for activating blood circulation and then can improve post-traumatic metabolism disorder, improve body allomeric function and promote union of fracture. Great majority synthetism side's medicine based on function of promoting blood circulation to disperse blood clots then can promote absorption of hematoma, improves circulation, increase limbs regional blood flow and promote union of fracture. Strong muscle Psoralea pill has inrigorating qi and promoting blood circulation, reunion of fractured tendons and bones, effect of kidney invigorating and YANG supporting. The strong muscle Psoralea pill treatment fracture of application, it is possible to there is the pharmacological action of above-mentioned a few class sides medicine simultaneously and promote union of fracture. But, the square medication of which kind of effect is imitated more preferably actually, needs to be studied further. I thinks, in the clinical research of synthetism side's medicine, compare the curative effect of the various synthetism sides medicine with different efficacies further, explore Chinese medicine and promote the best rule for the treatment of of union of fracture, and then select more cost-effective side's medicine, it is Chinese medicine one of the research direction that promotes union of fracture.

Summary of the invention

Diagnostic criteria:

Diagnostic criteria: 1. have clear and definite trauma history; 2. affected part swelling, tenderness or the symptom such as bony crepitus and abnormal movement; 3. X-ray confirms radius far-end fracture. Inclusive criteria: 1. fresh fracture is medical in 1 week; 2. closed fracture; 3. without systemic diseases such as blood vesssls and nerves injuries and severe cardiac, brain, liver, kidney diaseases and diabetes, hyperthyroidism, hypothyroidism; 4. the age is more than 18 years old, less than 60 years old. Exclusion standard: 1. pathologisch Bruch, serious splintered fracture, local soft tissue dampens serious and serious associated injury patient; 2. open fracture; 3. there are the systemic disease patients such as severe cardiac, brain, liver, kidney diaseases and diabetes, hyperthyroidism, hypothyroidism; 4. the age is at under-18s, more than 60 years old; 5. repeatedly manual reduction unsuccessful or treatment during fracture redisplacement patient; 6. do not meet inclusive criteria and entirely do not affect, by regulation medication and data, the patient that result judges. Group result: all MethodsThe cases enrolled (123 example) are randomly divided into strong muscle Psoralea pill group, bone setting tablet group and matched group by lottery. Strong muscle Psoralea pill group 38 example, wherein male 20 examples, female 18 example; Bone setting tablet group 43 example, wherein male 24 examples, female 19 example; Matched group 42 example, wherein male 22 examples, female 20 example. The age structure situation of each group case is in Table 1. Clinical healing standard 1. local is without tenderness and longitudinal percussion pain; 2. local activity without exception; 3. X-ray film is shown in that fracture line obscures, and has continuous callus to pass through fracture line; 4. functional examination: can put down and lift 1kg releasing suffering limb in extenal fixation situation and reach 1min; 6. Continuous Observation two weeks, fracture is as indeformable, then observation is the clinical healing time on the 1st day. Callus x-ray observation and ranking method: reduction is fixed well and namely makes film 1 time, and after medication, 10d, 20d, 30d, 40d respectively make film 1 time later, film making condition is identical every time, and by problem, outer personnel press row Standard Judgement bone fracture healing. Clinical healing standard: 1. local is without tenderness and longitudinal percussion pain; 2. local activity without exception; 3. X-ray film is shown in that fracture line obscures, and has continuous callus to pass through fracture line; 4. functional examination: can put down and lift 1kg releasing suffering limb in extenal fixation situation and reach 1min; 6. Continuous Observation two weeks, fracture is as indeformable, then observation is the clinical healing time on the 1st day. Callus x-ray observation and ranking method: reduction is fixed well and namely makes film 1 time, and after medication, 10d, 20d, 30d, 40d respectively make film 1 time later, film making condition is identical every time, and by problem, outer personnel press row Standard Judgement bone fracture healing. Result: strong muscle Psoralea pill group clinical healing time relatively matched group shifts to an earlier date 846d(P < 0.001), similar with bone setting tablet group effect (P > 0.005). Callus x-ray observation shows: strong muscle Psoralea pill group bone fracture healing is better than matched group (P < 0.001 or P < 0.01); At the 30th day, its curative effect was also better than bone setting tablet group (P < 0.01). Strong muscle Psoralea pill has the effect promoting union of fracture.

Goal of the invention: for the Therapeutic Method overcoming existing treatment radius far-end fracture to heal, and treat colles' fracture, callus x-ray observation is passed judgment on by unified standard by the outer personnel of problem, the bias that this unbalanced and anthropic factor just farthest avoiding casebook figure part causes. Strong muscle Psoralea pill is similar with bone setting tablet to the curative effect of the clinical healing of fracture, and than the good effect of bone setting tablet in the x-ray classification of bone fracture healing. I thinks, in the clinical research of synthetism side's medicine, compare the curative effect of the various synthetism sides medicine with different efficacies further, explore Chinese medicine and promote the best rule for the treatment of of union of fracture, and then select more cost-effective side's medicine, it is Chinese medicine one of the research direction that promotes union of fracture. The clinic tested, truly has curative effect. And obtain satisfactory effect.

Technical scheme: strong muscle Psoralea pill group manual reduction, Set by small splints from outside, does not use medicine for external application. The reduction of the fracture is namely oral after being fixed well strengthens muscle Psoralea pill �� (2001) deep medicine word 3P-066 ��, every day 3 times, each 6g, takes 21d continuously, without other endo-medicines during treatment. Reduction is the elasticity of every 3d 1 clamping plate band of adjustment in fixing 1 week, adjusts 1 time weekly, until clinical union of bone releases Boards wall later. The tightness of clamping plate band can move up and down 1cm with band and be as the criterion. Bone setting tablet group manual reduction, Set by small splints from outside, do not use medicine for external application. Namely the reduction of the fracture be administered orally bone setting tablet �� ZZ-5028-the Liao Dynasty defends the quasi-word (1998) of medicine the 0027th �� after being fixed well, every day 3 times, each 4, takes 21d continuously, without other endo-medicines during treatment. Clamping plate band elasticity method of adjustment, with strong muscle Psoralea pill group, releases Boards wall after clinical union of bone. According to group manual reduction, Set by small splints from outside, do not use medicine for external application and endo-medicine. Clamping plate band method of adjustment is with strong muscle Psoralea pill group. Boards wall is released after clinical union of bone. Statistical method: rank test; Compare with matched group, P < 0.05, P < 0.001; �� and traumatology compare P < 0.05, �� �� P < 0.01 table 4 by osteocomma group and respectively organize the average clinical union of bone time and compare statistical method: t checks; P < 0.001 is compared with matched group.

Invention beneficial effect: strong muscle Psoralea pill group clinical healing time relatively matched group shifts to an earlier date 846d(P < 0.001), similar with bone setting tablet group effect (P > 0.05). Callus x-ray observation shows: strong muscle Psoralea pill group bone fracture healing is better than matched group (P < 0.001 or P < 0.01); At the 30th day, its curative effect was also better than bone setting tablet group (P < 0.01). . strong muscle Psoralea pill has the effect promoting union of fracture.

Preferred forms: use strong muscle Psoralea pill and manual reduction treating.

Innovation: this novel patent of invention relates to a kind of Therapeutic Method promoting radius far-end fracture to heal, its manual reduction overcomes the deficiency of existing treatment, adopting strong muscle Psoralea pill and the treatment of manual reduction method, strong muscle Psoralea pill is made up of 20 pleasant impression Chinese medicines such as Rhizoma Chuanxiong, Radix Angelicae Sinensis, Pseudobulbus Bletillae (Rhizoma Bletillae), Radix Rehmanniae Preparata, ground beetle, Fructus Chaenomelis, the Cortex Eucommiae, Radix Dipsaci, Rhizoma Drynariae, Cortex Acanthopancis, Ramulus Cinnamomi, Semen Cuscutae, Radix Notoginseng, Os Draconis, Pyritum, the Radix Astragali, Radix Codonopsis, Fructus Psoraleae, Bi, Herba Epimedii. The Radix Astragali, Radix Codonopsis QI invigorating and body resistance strengthening in side, Rhizoma Chuanxiong, Radix Notoginseng, ground beetle blood circulation promoting and blood stasis dispelling, Radix Dipsaci, Rhizoma Drynariae, Fructus Psoraleae, Pyritum reunion of fractured tendons and bones, Radix Rehmanniae Preparata, Semen Cuscutae, the Cortex Eucommiae, Herba Epimedii kidney invigorating and YANG supporting; Cortex Acanthopancis, Ramulus Cinnamomi, the Fructus Chaenomelis relaxing muscles and tendons and activating QI and blood in the collateral walk help efficacy of a drug, Bi dehumidifying hinders spleen effect with all medicines of tonification processed; Os Draconis suppressing the hyperactive liver and subsiding YANG, Pseudobulbus Bletillae (Rhizoma Bletillae) is slightly cold and has the merit of hemostasia and detumescence, and both share the scorching of all medicines of tonifying YANG processed. All medicines share plays inrigorating qi and promoting blood circulation altogether, reunion of fractured tendons and bones, the merit of kidney invigorating and YANG supporting, and QI invigorating and do not hinder spleen, tonifying YANG and not scorching. Visible, by strong muscle Psoralea pill treatment fracture, meet the traditional Chinese medical science Pathogenesis Theory principle about fracture and injury.

Claims (3)

1. promote the Therapeutic Method that radius far-end fracture heals, strong muscle Psoralea pill group manual reduction, Set by small splints from outside, do not use medicine for external application; The reduction of the fracture is namely oral after being fixed well strengthens muscle Psoralea pill �� (2001) deep medicine word 3P-066 ��, every day 3 times, each 6g, takes 21d continuously, without other endo-medicines during treatment; Reduction is the elasticity of every 3d 1 clamping plate band of adjustment in fixing 1 week, adjusts 1 time weekly, until clinical union of bone releases Boards wall later; The tightness of clamping plate band can move up and down 1cm with band and be as the criterion.

2. method according to claim 1, is characterized in that: the reduction of the fracture is namely oral after being fixed well strengthens muscle Psoralea pill �� (2001) deep medicine word 3P-066 ��, every day 3 times, each 6g, takes 21d continuously, without other endo-medicines during treatment; Reduction is the elasticity of every 3d 1 clamping plate band of adjustment in fixing 1 week, adjusts 1 time weekly, until clinical union of bone releases Boards wall later; The tightness of clamping plate band can move up and down 1cm with band and be as the criterion.

3. method according to claim 1, is characterized in that: without other endo-medicines during treatment; Reduction is the elasticity of every 3d 1 clamping plate band of adjustment in fixing 1 week, adjusts 1 time weekly, until clinical union of bone releases Boards wall later; The tightness of clamping plate band can move up and down 1cm with band and be as the criterion.