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临床护理进展

Journal of Advances in Clinical Nursing

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Journal of Advances in Clinical Nursing. 2025; 4: (4) ; 10.12208/j.jacn.20250179 .

The role of integrated Chinese and Western medicine in the rehabilitation treatment of tibial plateau fractures after surgery
中西医结合疗法在胫骨平台骨折术后康复治疗中的作用

作者: 伍压泥 *, 罗彦巧

云南省中医医院 云南昆明

*通讯作者: 伍压泥,单位:云南省中医医院 云南昆明;

引用本文: 伍压泥, 罗彦巧 中西医结合疗法在胫骨平台骨折术后康复治疗中的作用[J]. 临床护理进展, 2025; 4: (4) : 63-66.
Published: 2025/4/15 11:20:24

摘要

目的 探讨在胫骨平台骨折术后康复治疗中予以中西医结合治疗方法的效用价值。方法 实验对比对象共计102例,均为胫骨平台骨折患者,且行手术治疗,因需对比术后康复治疗中不同手段的效用价值,应以盲抽方式完成组别划分,对照组与观察组患者人数各51例,康复治疗方法分别为常规西医与中西医结合治疗,观察并深入比较两组实际应用成效。结果 经实验中各数据显示,相较对照组,观察组患者治疗效果较优(P<0.05);与此同时,观察组3个月骨折愈合率高于对照组(P<0.05);对比Lysholm膝关节评分,术后两组评分呈现出均衡性(P>0.05),但3个月后观察组评分较对照组高(P<0.05)。结论 对于胫骨平台骨折行手术治疗的患者而言,给予中西医结合治疗方法整体效果较为显著,可有效加快患者骨折愈合时间,切实改善患者膝关节功能。

关键词: 中西医结合治疗;胫骨平台骨折;术后康复治疗

Abstract

Objective To explore the efficacy of integrated Chinese and Western medicine in the rehabilitation treatment of tibial plateau fractures after surgery.
Methods A total of 102 cases were compared in the experiment, all of whom were patients with tibial plateau fractures and underwent surgical treatment. Because the utility value of different means of postoperative rehabilitation treatment needed to be compared, the group division should be completed by blind sampling. The number of patients in the control group and the observation group was 51 cases each. The rehabilitation treatment methods were conventional Western medicine and integrated Chinese and Western medicine treatment, respectively. The actual application results of the two groups were observed and compared in depth.
Results The data in the experiment showed that compared with the control group, the treatment effect of the observation group was better (P<0.05); at the same time, the fracture healing rate of the observation group was higher than that of the control group at 3 months (P<0.05); compared with the Lysholm knee score, the scores of the two groups after surgery were balanced (P>0.05), but the score of the observation group was higher than that of the control group after 3 months (P<0.05).
Conclusion   For patients with tibial plateau fractures undergoing surgical treatment, the overall effect of combined Chinese and Western medicine treatment is more significant, which can effectively accelerate the healing time of fractures and effectively improve the knee joint function of patients.

Key words: Combined Chinese and Western medicine treatment; Tibial plateau fracture; Postoperative rehabilitation treatment

参考文献 References

[1] 牟亮俊,罗兵,杨也,等. 基于数据挖掘分析中药熏洗促进胫骨平台骨折术后康复用药规律 [J]. 云南中医中药杂志, 2024, 45 (06): 47-52. 

[2] 邓斌,郑臣校,吴郁锐,等. 针刺联合康复训练对胫骨平台骨折术后快速康复的影响 [J]. 广州中医药大学学报, 2024, 41 (01): 129-134. 

[3] 张保亮,李红奇,陶贤水,等. 中药熏洗配合康复训练对胫骨平台骨折术后功能恢复的影响 [J]. 河北中医, 2023, 45 (06): 961-964.

[4] 夏相湘. 针刀联合中药熏洗治疗胫骨平台骨折术后膝关节僵硬临床观察 [J]. 中国中医药现代远程教育, 2024, 22 (18): 129-131.

[5] 曾文容,陈卫,陈志达,等. 胫骨平台骨折术后感染性骨缺损的分型和治疗策略 [J]. 骨科, 2021, 12 (03): 211-219.

[6] 黄声群. 中医关节粘连松解术治疗胫骨平台骨折术后膝关节僵硬的疗效分析 [J]. 中外医疗, 2022, 41 (33): 180-184. 

[7] 雷凯,易蕾,谢小云. 多元化中医康复训练对胫骨平台骨折术后恢复及膝关节功能的影响 [J]. 光明中医, 2022, 37 (17): 3163-3166.

[8] 谭治标,许建文,桂裕昌,等. 107例下肢骨折手术治疗患者康复干预情况统计分析 [J]. 按摩与康复医学, 2020, 11 (20): 38-41. 

[9] 陈述荣,陈昕,梁杰,等. 推拿在胫骨平台骨折术后患者中的应用及对肢体功能的影响 [J]. 光明中医, 2020, 35 (13): 2031-2033.

[10] 曾垂林. 中西医结合疗法在胫骨平台骨折术后康复治疗中的临床疗效分析 [J]. 世界最新医学信息文摘, 2019, 19 (84): 202+204.