| Objective:Patients with fracture of tibia and fibula, due to the medial calf without muscle covering the anatomical characteristics, damage to the surface of the skin and soft tissue, periosteum damage, blood circulation poor blocking, poor blood supply, easily lead to late fracture delayed union or nonunion and other complications. From the Chinese point of view, should be early to mid blood circulation, relieve pain, continued reunion. The self-made traditional Chinese medicine orthopedics FUYUAN decoction, explore the in of tibia and fibula bone fracture healing process in effect, and analyze the clinical significance, hoping to open tibiofibular fracture treatment and rehabilitation of patients to provide advice.Methods:1. On the basis of clinical research methods, selection of Shandong University of traditional Chinese Medicine Affiliated Wendeng orthopedics hospital January 2014 to 2015 in January, conform to the standard of 100 cases of tibia and fibula fracture patients as the research object.2 randomly divided into control group and observation group, each group of 50 cases. Two groups of patients admitted to the hospital after emergency debridement, using fixed clinical routine external fixation, postoperative antibiotics were given conventional anti-inflammatory treatment.3. The observation group after fracture operation early and middle of eating when to start taking our hospital self-made traditional Chinese medicine orthopedics FUYUAN decoction, sooner or later each 1 / 2 agent, taking a total of 4 weeks. Party to promoting blood circulation and removing blood stasis, detumescence and acesodyne Liangxue, Quyu health and new drugs, the other groups in the early and mid intravenous injection with compound bone peptide as a comparison. In late two the same group of oral medicine bone.4. Comparison of two groups of patients after treatment, and postoperative follow-up of patients with 4-10 months, an average of 6 months, compared two groups of patients with pain and swelling disappeared time, hemodynamic analysis, fracture healing time, complications occurrence rate, record results, and the statistical methods for analysis and processing.Results:The observation group of 1 limb swelling and pain disappeared time significantly shortened.2. The observation group in the serum of the patients with prothrombin time(PT), activated partial thromboplastin time(APTT) was prolonged, reduce serum protein fiber content(FIB) to improve the blood viscosity, prevent the formation of deep venous thrombosis of the lower limbs.3 the observation group limb can significantly shorten the healing time, bone nonunion rate decreased.Conclusions:Treatment of fracture of tibia and fibula to postoperative patients prone to fracture delayed union or nonunion, deep venous thrombosis of lower limb formation and other complications, to traditional Chinese medicine point of view, in the early stage of fracture, meridian stasis, be illogical painful, promoting blood circulation and removing blood stasis, detumescence and acesodyne; in fracture mid Quyu health new Jieguxujin; in fracture late tonifying the liver and kidney, promoting the healing of the fracture. Blood circulation, relieve pain, promote regeneration of blood, which is the main method of Jieguxujin bone open fracture at early stage of TCM treatment. In summary, in fracture early, mid treated with Huoxue Huayu, swelling and relieving pain, removing blood stasis and students new drugs for the treatment of open fractures can reduce swelling, pain, time can significantly shortened the healing time of fracture, reduce postoperative deep venous thrombosis of lower extremity, caused the majority of medical science of health workers attention should be. |
