中 药 膏 外 敷 治骨折.doc

中药膏外敷治疗骨折
作者:王士臣王莉珍
王莉萍王宇轩
The ointment topical treatment of fractures

Author:Wang Shichen Wang Lizhen
Wang Liping Wang Yuxuan
提要
目的:使用中药膏外敷在治疗闭合性骨折愈合过程中对骨折部位快速正骨复位并速生骨痂的治疗。方法:通过X光射线,CT,组织学,生化血液分析测定,对29例闭合性骨折患者统计学处理。结果:使用中药膏5至10小时后,根据X光射线,CT片所见,骨折处灰度,有新生骨痂,说明成骨细胞成骨能力增强;血液流变测定,血粘度、红细胞压积等均降低,说明本药膏有活血化瘀的功效。活血化瘀可减少炎症渗出,促进局部血液循环快速恢复,改善骨质的血供,为骨折处骨愈合提供营养并创造良好的环境。结论:本中药膏外敷在闭合性骨折的使用,能改善局部血液循环,正骨复位速生骨痂,加速骨折的愈合。
关键词:闭合性骨折,外治法,中药膏外敷,应用
Abstrac
Purpose: Use the ointment topical in the treatment of closed fracture healing process of fracture fast bonesetting reduction and fast-growing callus treatment. Method: By X-ray, CT, histological, biochemical blood analysis determination of 29 patients with closed fracture statistics processing, Result: Use the ointment for 5 to 10 hours later, According to the X-ray, CT slice can see, Fracture gray level, a new bone scabs, explain osteoblasts osteogenesis ability enhancement; Determination of blood rheology, blood viscosity, erythrocyte deposited is reduced, the effect of this ointment with promoting blood circulation to remove blood stasis. Can reduce inflammatory exudation for activating blood circulation and promote local blood circulation quickly recover, improve the bone blood supply, provide nutrients for bone fracture healing and to create a good environment. Conclusion: This ointment topical in the use of closed fracture, can improve local blood circulation, bonesetting reduction fast-growing callus, accelerate fracture healing.
Key words: Closed fracture, external therapy,The ointment topical, Application
前言
骨折愈合是骨折断端之间再连接的自然修复过程。依据骨折是否和外界相通可分为二类: 一、开放性骨折:骨折附近的皮肤和粘膜破裂,骨折处与外界相通;耻骨骨折引起的膀胱或尿道破裂,尾骨骨折引起的直肠破裂,均为开放性骨折。因与外界相通,此类骨折处受到污染。二、闭合性骨折:骨折处皮肤或粘膜完整,不与外界相通。此类骨折没有污染。骨折愈合是一个极其复杂的生物学修复过程,受诸多因素影响。如何早期促进骨折愈合,一直是骨伤科领域研究的重点课题。根据中医理论和现代科学方法,采用不同的手段和方法,从不同角度进行各种研究,结果显示出中医在治疗骨折愈合上有优势。中医认为:血不活则瘀不去,瘀不去则折不续。李时珍在其划时代医药巨著《本草纲目》中收载了常见的骨伤科疾病治疗方药,并将骨伤科疾病的治疗医理、药理、方剂、药物密切连贯,医药相照,学用两便,为骨伤科临床辨证施用,提供了极大方便。在总结前人治疗闭合性骨折经验的基础上,结合自身经验,独创中药膏外