| 摘要: |
| 目的：评价复方伤痛胶囊治疗肋骨骨折合并血胸的临床疗效。方法：选取在我院住院治疗的肋骨骨折合并血胸患者 68 例，随机将其分为观察组和对照组，其中对照组患者常规治疗，观察组联合应用复方伤痛胶囊进行治疗。结果：治疗后凝血功能情况对比：治疗后 5 天、10 天、15 天 TT、APTT 观察组高于对照组（P < 0.05），治疗后 5 天、10 天观察组 D-D显著低于对照组（P < 0.05）；VAS 疼痛评分：治疗后 5 天、10 天观察组显著低于对照组（P < 0.05）；血胸出血量测定：治疗后 5 天、10 天、15 天观察组出血量均显著低于对照组（P < 0.05）；治疗后骨架密度 CT 值对比：治疗后 15 天、45 天观察组高于对照组（P < 0.05）。结论：对于肋骨骨折合并血胸患者的治疗，在常规治疗的基础上联合应用复方伤痛胶囊能够明显改善患者早期的凝血功能，促进血胸积血迅速吸收和骨折迅速愈合，改善机体状况，获得显著的临床疗效。 |
| 关键词: 复方伤痛胶囊 肋骨骨折 血胸 |
| DOI：10.3969/j.issn.1007-6948.2019.06.012 |
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| 基金项目: |
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| Observation on the Effect of Compound Pain Capsule in Treating Rib Fracture Combined with Hemothorax |
| ZHU Peng-fei,,YANG Ying-ying,GUO Yan-bo |
| Department of Thoracic Surgery, Shandong Provincial Hospital of Traditional Chinese Medicine, Jinan (250014), China |
| Abstract: |
| Objective To evaluate the clinical efficacy of Compound Pain Capsule in the treatment of rib fracture combined with hemothorax. Methods Sixty-eight patients with rib fractures and hemothorax who were hospitalized in our hospital were randomly divided into observation group and control group. The patients in control group received routine treatment, and the patients in observation group were treated with Compound Pain Capsule. Results Comparison of coagulation function after treatment: the TT and APTT of observation group were higher than those in the control group at 5, 10, and 15 days after treatment (P < 0.05). The DD in the observation group was significantly lower than that in the control group at 5 and 10 days after treatment (P < 0.05). VAS pain score: The observation group was significantly lower than the control group at 5 and 10 days after treatment (P<0.05). The determination of amount of hemorrhage: the blood loss of the observation group was significantly lower than that of the control group at 5, 10, and 15 days after treatment (P<0.05). CT value comparison of post-treatment skeletal density: 15 days and 45 days after treatment, the observation group was higher than the control group (P < 0.05). Conclusion For the treatment of rib fracture combined with hemothorax, combined application of Compound Pain Capsule on the basis of conventional treatment can significantly improve the early coagulation function of the patients, promote the rapid absorption of hemorrhage and rapid healing of the fracture, improve the body condition, and obtain significant clinical efficacy. |
| Key words: Compound Pain Capsule rib fractures hemothorax |
