小儿伤科方与小儿伤科颗粒对肱骨髁上骨折患儿依从性的影响对比
Comparison of effects of Xiao’er Shangke Recipe and Xiao’er Shangke Granules on compliance of children with supracondylar fractures of humerus
- 上海中医药杂志 2021年55卷第12期 页码：52-55
- 作者机构：
1.四川省骨科医院药学部（四川 成都 640041）
- 作者简介：
杨沙，女，主管药师，主要从事药学与临床药学研究工作
- 基金信息：四川省中医药管理局项目(2020JC0100);四川省中医药管理局青年中医药科研项目(2018QN030);四川省骨科医院科研项目(2017-2)
DOI：10.16305/j.1007-1334.2021.2012108
中图分类号：
扫 描 看 全 文
杨沙, 尹小娟, 温慧敏, 等. 小儿伤科方与小儿伤科颗粒对肱骨髁上骨折患儿依从性的影响对比[J]. 上海中医药杂志, 2021,55(12):52-55.
Sha YANG, Xiaojuan YIN, Huimin WEN, et al. Comparison of effects of Xiao’er Shangke Recipe and Xiao’er Shangke Granules on compliance of children with supracondylar fractures of humerus[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(12):52-55.
杨沙, 尹小娟, 温慧敏, 等. 小儿伤科方与小儿伤科颗粒对肱骨髁上骨折患儿依从性的影响对比[J]. 上海中医药杂志, 2021,55(12):52-55. DOI： 10.16305/j.1007-1334.2021.2012108.
Sha YANG, Xiaojuan YIN, Huimin WEN, et al. Comparison of effects of Xiao’er Shangke Recipe and Xiao’er Shangke Granules on compliance of children with supracondylar fractures of humerus[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(12):52-55. DOI： 10.16305/j.1007-1334.2021.2012108.
摘要
目的,2,观察肱骨髁上骨折患儿分别使用小儿伤科方与小儿伤科颗粒的依从性，旨在优化后续肱骨髁上骨折治疗方案。,方法,2,选取2018年2月至2019年7月收治的84例肱骨髁上骨折患儿，随机分为对照组和观察组，每组42例。两组均予以常规治疗，在此基础上对照组使用小儿伤科方治疗，观察组使用小儿伤科颗粒治疗。两组均连续治疗1个月，评估并对比两组治疗前、治疗3 d、治疗15 d及治疗1个月时的疼痛程度，治疗1个月时骨折愈合情况、肘关节功能；采用自制问卷评估两组患儿治疗依从性；治疗期间，记录两组不良反应。,结果,2,两组治疗3 d、15 d及1个月时的VAS评分较治疗前逐渐降低，且观察组各时点VAS评分均低于对照组（,P,<,0.05）；观察组骨折愈合时间短于对照组，且观察组治疗1个月时的骨痂X线评分高于对照组（,P,<,0.05）；观察组肘关节功能优良率高于对照组（,P,<,0.05），总依从率高于对照组（,P,<,0.05），不良反应发生率低于对照组（,P,<,0.05）。,结论,2,相比于小儿伤科方，肱骨髁上骨折患儿使用小儿伤科颗粒治疗的依从性更好，更利于提高治疗整体疗效、促进患儿骨折愈合，且服用颗粒制剂的不良反应少，更为安全可靠。
Abstract
Objective,2,To observe the compliance of children with supracondylar fractures of humerus in using Xiao’er Shangke Recipe and Xiao’er Shangke Granules, aiming to guide the optimization of the subsequent treatment plan for supracondylar fracture of humerus.,Methods,2,A total of 84 children with supracondylar fractures of humerus admitted to the hospital from February 2018 to July 2019 were selected and randomly divided into the control group and the observation group, with 42 cases in each group. Both groups were given routine treatment. On this basis, the control group was treated with Xiao’er Shangke Recipe, and the observation group was treated with Xiao’er Shangke Granules. Both groups were treated continuously for 1 month, and the pain degree, fracture healing and elbow joint function of the two groups were evaluated and compared before treatment, 3 days, 15 days and 1 month after treatment. Self-made questionnaire was used to evaluate the treatment compliance of the two groups, and the adverse reactions of the two groups were recorded during the treatment.,Results,2,The visual analogue scale(VAS) scores of the two groups at 3 d, 15 d and 1 month of treatment were gradually lower than those before treatment, and the VAS scores of the observation group were lower than those of the control group at each time point(,P,<,0.05); the fracture healing time of the observation group was shorter than that of the control group, and the callus X-ray score of the observation group at 1 month of treatment was higher than that of the control group(,P,<,0.05); the excellent and good rate of elbow joint function in the observation group was higher than that in the control group(,P,<,0.05); the total compliance rate of the observation group was higher than that of the control group(,P,<,0.05); the incidence of adverse reactions in the observation group was lower than that in the control group(,P,<,0.05).,Conclusion,2,Compared with Xiao’er Shangke Recipe, the compliance of children with supracondylar fracture of humerus treated with Xiao’er Shangke Granules is better, which is more conducive to improve the overall curative effect and promote fracture healing. And taking Xiao’er Shangke Granules is more safe and reliable with less adverse reactions.
关键词
肱骨髁上骨折疼痛小儿伤科方小儿伤科颗粒关节功能中医药疗法
Keywords
supracondylar fractures of humeruspainXiao’er Shangke RecipeXiao’er Shangke Granulesjoint functiontraditional Chinese medicine therapy
references
张斌剑. 中药汤剂辅助手术治疗老年闭合性股骨转子间骨折临床研究[J]. 陕西中医，2018, 39(4): 497-499.
陈发益，杜远立. 手术切开复位内固定联合桃红四物汤治疗肱骨髁间骨折疗效及对炎性因子的影响[J]. 现代中西医结合杂志，2017, 26(19): 2151-2153, 2166.
陈小丹. 中药汤剂与配方颗粒剂在我院儿科的服用率对比分析[J]. 儿科药学杂志，2015, 21(8): 43-45.
任波，周英，刘昕，等. 辨证分期使用中药配合治疗儿童肱骨髁上骨折临床研究[J]. 四川中医，2019, 37(12): 144-146.
LEUNG S, PARYAVI E, HERMAN M J, et al. Does the Modified Gartland Classification Clarify Decision Making?[J]. J Pediatr Orthop, 2018, 38(1): 22-26.
陈世耀，刘晓清. 医学科研方法[M]. 北京：人民卫生出版社，2015: 116-117.
WATERFIELD J, SIM J. Clinical assessment of pain by the visual analogue scale[J]. Br J Ther Rehabil, 2013, 3(2): 94-97.
任波，周英，刘昕，等. 辨证分期使用中药配合治疗儿童肱骨髁上骨折临床研究[J]. 四川中医，2019, 37(12): 144-146.
FLYNN J C, MATTHEWS J G, BENOIT R L. Blind pinning of displaced supracondylar fractures of the humerus in children. Sixteen years’ experience with long－term follow－up[J]. J Bone Joint Surg Am, 1974, 56(2): 263-272.
张春玲，阮震寰，张乐. 中药方剂内治新鲜骨折的用药规律探讨[J]. 中国中医基础医学杂志，2015, 21(2): 218-222.
张永祥，杜金生，刘小莉. 手术联合中药汤剂治疗桡骨远端骨折的效果[J]. 实用临床医药杂志，2019, 23(13): 46-48, 52.
王舜. 桃红四物汤联合干扰素对乙型肝炎病毒感染患者肝纤维化的影响[J]. 实用药物与临床，2014, 17(5): 649-651.
张亚军，陈金洪，王勇，等. 手术切开复位内固定联合桃红四物汤治疗肱骨髁间骨折及对炎性因子的影响[J]. 中华中医药学刊，2019, 37(2): 479-483.
盛凤，陈自雅，李艳霞，等. 免煎颗粒剂与传统汤剂临床疗效的系统评价[J]. 中华中医药杂志，2018, 33(1): 313-316.
殷佳，潘晔，蔡雪朦，等. 中药传统汤剂、浸膏剂和配方颗粒剂的比较[J]. 中草药，2017, 48(18): 3871-3875.
何军，朱旭江，杨平荣，等. 中药配方颗粒的现状与发展新思路[J]. 中草药，2018, 49(20): 6-14.
季欧，张忠，庞超平，等. 正交试验设计优化小儿伤科合剂提取工艺[J]. 成都中医药大学学，2018, 41(4): 24-27.
王一战，苏芮，韩经丹，等. 中药配方颗粒的发展现状及思考[J]. 上海中医药杂志，2016, 50(11):10-13.
谢勇，严霞，盛国荣. 传统中药饮片汤剂与免煎颗粒剂治疗寻常型银屑病临床对照研究[J]. 中国临床研究，2018, 31(7): 977-980.
郭明星，吴诚，童卫杭. 中药配方颗粒和中药汤剂等效性研究进展[J]. 中国现代中药，2016, 18(9): 1107-1110.
庞国勋. 中药原位凝胶制剂工艺及药理研究概况[J]. 现代中西医结合杂志，2016, 25(11): 1247-1252.
0
浏览量
50
下载量
0
CSCD
1
CNKI被引量
- 网络PDF下载
- Meta-XML下载
- BibTeX下载
- Endnote下载
- RefMan 下载
- NoteExpress下载
- NoteFirst下载
关联资源
相关文章
相关作者
相关机构
- 技术支持由北京北大方正电子有限公司提供 沪ICP备13044091号
沪公网安备 31011502015228号 - 本系统建议在Chrome、 IE9+ 以上版本浏览器阅读本站内容，360浏览器请切换至极速模式
- Cookies帮助我们提供服务并提供个性化体验。使用本网站，即表示您同意我们使用Cookies
- 总访问量：70535 今日访问量：16