·中医中药·补肾活血汤对桡骨远端骨折患者术后骨代谢指标及腕关节功能的影响王星宇,孙雷,胡前芹,谢水华(江西省中西医结合医院,江西南昌330000)摘要:目的探讨DRF患者术后应用补肾活血汤治疗的效果。方法采用随机数字表法将2020年7月至2022年7月本院收治的84例DRF患者分为两组,每组各42例。组均行T型钢板内固定手术治疗,对照组术后予以常规处理,观察组加用补肾活血汤治疗。对比两组临床疗效、骨代谢指标、疼痛程度、腕关节功能及并发症发生率。结果观察组临床总有效率高于对照组,治疗后骨钙素(BGP)、碱性磷酸酶(ALP)、护骨素(OPG)水平高于对照组,抗酒石酸酸性磷酸酶5b(TRACP-5b)水平低于对照组,视觉模拟评分(VAS)低于对照组,Cooney腕关节功能评分量表评分高于对照组,并发症发生率低于对照组(P均<0.05)。结论DRF患者术后应用补肾活血汤治疗效果确切,利于改善骨代及腕关节功能,减轻疼痛程度,降低并发症发生率,利于患者术后恢复,值得推广。关键词:桡骨远端骨折;补肾活血汤;骨代谢指标;腕关节功能;并发症中图分类号:R683.41文献标识码:Adoi:10.3969/j.issn.1006-5571.2023.04.014基金项目:江西省中医药管理局科技计划项目(编号:2021B390)作者简介:王星宇(1992—),男,E-mail:wang12xyu@163.comEffectsofBushenHuoxueDecoctiononbonemetabolismindexesandwristjointfunctioninpatientswithdistalradiusfractureaftersurgeryWANGXing-yu,SUNLei,HUQian-qin,XIEShui-hua.JiangxiHospitalofIntegratedTraditionalandWesternMedicine,Nanchang330000,ChinaAbstract:ObjectiveToinvestigatetheeffectofBushenHuoxuedecoctiononpostoperativetreat-mentofDRFpatients.Methods84patientswithDRFadmittedtoourhospitalfromJuly2020toJuly2022weredividedintotwogroupsbyrandomnumbertablemethod,with42casesineachgroup.AllgroupsweretreatedwithT-plateinternalfixation,thecontrolgroupwastreatedwithroutinetreatment,andtheobservationgroupwastreatedwithBushenHuoxuedecoction.Theclinicalefficacy,bonemetabolismindex,paindegree,wristfunctionandcomplicationratewerecomparedbetweenthetwogroups.ResultsThetotalclinicaleffectiverateofobservationgroupwashigherthancontrolgroup,thelevelsofosteocalcin(BGP),alkalinephosphatase(ALP)andosteophone(OPG)aftertreatmentwerehigherthancontrolgroup,theleveloftartrate-resistantacidphosphatase5b(TR...
