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Clinical Research, For Surgery And Traditional Chinese Medicine Treatment Of Acetabular Fractures

Posted on:2012-06-16Degree:MasterType:Thesis
Country:ChinaCandidate:Y B LiFull Text:PDF
GTID:2204330338450945Subject:Orthopedics scientific
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Purpose:by observing the surgery with the traditional Chinese medicinal on the treatment of acetabular fractures,after treatment by thehip function Harris score standards. to evaluate the hip recovery of surgery with traditional Chinese medicine for the treatment of acetabular fracture ,and to explore the mechanism of Traditional Chinese medicine to promote the recovery after hip surgery.Material and method:Clinical select 42 patients by acetabular fractures from December 2008 -2010 in June in Orthopaedic Hospital of Shenyang City. which 22 patients were male, female 20 cases, the ratio of male to female was 22:20, aged 17 to 54 years old. of all patients randomly divided into two groups. 25 cases of Chinese medicinal group were treated by Chinese medicinal after surgery.but, 17 cases of The control group was not treated by Chinese medicinal after surgery the operation time for the surgical group and surgery with traditional Chinese medicine group were all 6-16 days after injury. two sets of data were comparable (P <0.05), conservative group, the control group, the average age of 34.91±3.487 years; the average age of traditional Chinese medicine group 35.65±4.143 years.the average time of control group was 25.47±3.09; the average time of surgical treatment and traditional Chinese medicine group22.47±3.14.Results:42 patients were followed up for 6 months to 1.5 years on average 11.5 months, two groups were in accordance with the Harris hip score standard evaluation function of the control group, 17 patients, 8 patients achieved excellent 48.2%, to achieve better Was 35.3% in 7 cases, good in 2 cases to 11.8%, to reach the poor in 1 case 5.9%, compared to 25 patients in the TCM group of 17 patients achieved excellent 68%, 6 cases to better account for 24 %, While the good and bad of each case, each 4%. Paired t test by the two groups, P <0.05, compared two groups after treatment shows a statistically significant difference. The Chinese Medicines Board in accordance with the standards according to Harris hip score was prompted to therapy than the control group.Conclusion:Acetabular fractures are intra-articular fractures, acetabular acetabular fracture is due to external forces caused by the strong forms of acetabular fractures, and more associated with serious complications. External forces, including direct and indirect violence, violence, direct violence prevalent in the accident, the external force directly on the hip or the Department of the greater trochanter, indirect external force of violence, compared with the back of the knee or hip, by conduction in the hip due to acetabular Acetabular fractures. Acetabular fracture is a serious injury, in the event of acetabular fractures is often associated with hemorrhagic shock and other organ damage and other complications, so for patients with acetabular fractures, should be taken seriously, and closely observe the patient's vital signs. At the same time the most important hip joint is the body weight-bearing joints, parts of the anatomy of the hip section of a complex and unique type of fracture and very diverse. Treatment of acetabular fractures in many ways, but also affects the efficacy of treatment. 80 years ago in the 20th century, the general conservative treatment of acetabular fractures, the traction and manual reduction. After several decades of development, as more and more clinical research, for understanding of acetabular fractures continue to increase. From the complex treatment of traumatic fracture summed up the process of surgical treatment methods and surgical approaches, and little improvement in disability rates decline, while a growing number of scholars in the postoperative recovery and reduce concurrent Disorder of research has gradually deepened. Ashamed in the analysis of clinical instructors in the use of surgery with traditional Chinese medicine to treat acetabular fractures and to study the mechanism of action, the use of surgery combined with Chinese medicine treatment of acetabular fractures through the surgery so firmly fixed anatomic reduction, reducing the complications Occurred after application of Chinese medicine diagnosis and treatment for rehabilitation patients and shorten the healing time of fracture, so that patients with early ambulation, reduce mental stress. Reference function according to Harris hip score standards by comparison, acetabular fracture surgery in patients treated with traditional Chinese medicine have shortened recovery time, the more effective than after, significantly reduced the incidence of complications, so that greatly improved the quality of life in patients...
Keywords/Search Tags:acetabulafracture, surgical procedures, chinese integrative medicine
PDF Full Text Request
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