Clinical Observation Of Xinshangshi Compress Liquid In The Treatment Of Swelling And Pain After Reduction And Splinting Of Colles Fracture

Objective: Through the observation of the curative effect of new Sangshi compressing liquid on swelling and pain after manipulative reduction and small splint external fixation treatment of Cooney ?-? Colles fracture,the accuracy and scientificalness of the curative effect are verified and the basis is provided for clinical promotion.Methods:The patients were selected for Hand and Foot departments of Changde Hospital Affiliated to Hunan University of Chinese Medicine from April 2018 to December 2018 were closed for Colles fracture were hospitalized and screened and collected according to the diagnostic criteria and inclusion criteria.A total of 80 cases were included.Two groups were treated with manipulative reduction and small splint external fixation,and instructed to undergo routine treatment such as functional exercise.On this basis,the experimental group was treated with external application of new Sangshi compressing liquid,while the control group was treated with seven sodium aescinate gel.The observation course of treatment is one week.Two groups of data were observed and recorded the fluctuation of outcome respectively,such as VAS pain score,diameter difference of wrist striation between affected limb and healthy side,ecchymosis score before treatment and on the 1th,4th,7th day after therapy,and the content of inflammation factor interleukin 6(IL-6)and tumor necrosis factor(TNF-?)were observed and recorded respectively before and after treatment.The data was counted and evaluated for clinical efficacy.Results: There were no significant differences between the two groups in gender composition,sex,injury site and Cooney classification of Colles fracture(P > 0.05).The effects between new Sangshi compressing liquid and seven sodium aescinate gel were remarkable on pain,swelling and ecchymosis of Cooney?-? Colles fracture patients after manipulative reduction and small splint external fixation,and the difference before and after treatment is statistically significant(P<0.05).After the one day of treatment,there were no significant differences between the two groups(p > 0.05),while the curative effect of new Sangshi compressing liquid was better than seven sodium aescinate gel after 4 or 7 days of treatment,and the differences were statistically significant(P<0.05)No significant differences in IL-6 and TNF-? content between the two groups before treatment(P > 0.05),which was comparable,However,the content comparison were statistically significant,which after treatment and the Difference before and after treatment(P<0.05).Aftertreatment,the contents of inflammatory factors IL-6 and TNF-? in the fresh wound wet compress group were lower than those in the seven sodium aescinate gel group,and the difference was statistically significant(P<0.05).After treatment,the contents of inflammatory factors IL-6 and TNF-? in the experimental group were lower than those in the control group,with statistically significant difference(P<0.05).In terms of clinical efficacy,the total effective rate of the experimental group was 95.0%,and the total effective rate of the control group was 90.0%.The curative efficacy of the experimental group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion: Xinshang wet compress liquid has remarkable curative effect in treating pain,swelling and ecchymosis of Cooney?-? Colles fracture patients after reduction and splint fixation.It can also reduce the content of IL-6 and TNF-?inflammatory factors to inhibit inflammatory reaction.It was no found that obvious toxic side effects and adverse reactions,which is worthy of further clinical promotion.