Effect of Shujin decoction fumigation and washing in the treatment of distal radius fractures in the elderly / 中国基层医药

ABSTRACT

Objective To observe the clinical effect of Shujin decoction combined with locking plate internal fixation in the treatment of senile distal radius fracture.Methods From January 2016 to January 2018,90 patients with distal humeral fractures in Taizhou Hospital of Integrated Traditional Chinese and Western Medicine were selected and divided into two groups according to the random number table,with 45 patients in each group.The control group was treated with locking plate internal fixation alone.The observation group was given self-made Shujin decoction on the basis of the control group,and the patients were treated for 8 weeks.The swelling regression time,fracture healing time and hospitalization time were recorded.The pain score at 4 and 8 weeks after operation were calculated by the visual analog scale(VAS).The Gartland-Werley and McBride wrist joint function recovery was evaluated 6 months after operation.The occurrence of post-complication was recorded.Results The swelling subsidence,fracture healing and hospitalization time of the control group were (8.02 ± 2.45) d,(42.50 ± 4.20) d,(14.86 ± 2.48) d,respectively,which were significantly longer than those of the observation group [(5.85 ± 1.64) d,(34.30 ± 5.60) d,(10.28 ± 2.44) d].The differences were statistically significant (t =5.036,9.531,4.372,all P ＜ 0.05).The VAS scores of the control group at 4 and 8 weeks after operation were (6.50 ± 1.45) points,(4.55 ± 1.74) points,respectively,which were significantly higher than those of the observation group [(5.26 ± 1.16) points,(3.02 ± 1.02) points],the differences were statistically significant (t =3.653,3.436,all P ＜ 0.05).The excellent and good rate of Gartland-Werley wrist function recovery in the control group was 53％ (24/45),which was significantly lower than that in the observation group [78％ (35/45)],the difference was statistically significant (x2 =9.202,P ＜0.05).The excellent rate of McBride wrist joint function recovery in the control group was 51％ (23/45),which was significantly lower than that in the observation group [76％ (34/45)],the difference was statistically significant(x2 =8.011,P ＜ 0.05).The incidence rate of complications in the control group was 18％ (8/45),which was significantly higher than that in the observation group [2％ (1/45)],the difference was statistically significant (x2 =6.049,P ＜0.05).Conclusion Self-made Shujin decoction combined with locking plate internal fixation in the treatment of senile distal radius fractures is effective,which can promote postoperative swelling and fracture healing,improve wrist function,reduce the incidence of complications and improve clinical outcome.