Observation on the therapeutic effect of Zhixue Zhentong Capsules in treating postoperative swelling of distal radius fractures
止血镇痛胶囊治疗桡骨远端骨折术后肿胀疗效观察

摘要

目的 本研究旨在探讨止血镇痛胶囊治疗桡骨远端骨折术后肿胀的临床应用价值，评估其在缓解术后肿胀、促进腕关节功能恢复及缩短疼痛缓解时间等方面的疗效，为优化桡骨远端骨折术后治疗方案提供依据。方法 采用随机对照试验设计，在本院诊治的60例桡骨远端骨折患者，随机分为对照组和观察组，每组30例。所有患者均接受复位内固定术，术后对照组采用常规康复方案，包括肘关节及手指关节的主动屈伸训练及对症治疗；观察组在对照组基础上加用止血镇痛胶囊辅助治疗。治疗周期为4周，评估指标包括患肢肿胀评分、腕关节功能评分（Garland-Werley评分和PRWE评分）。治疗后，两组评分均显著下降，但观察组下降幅度更大。结论 止血镇痛胶囊联合常规康复治疗能够显著改善桡骨远端骨折术后肿胀，促进腕关节功能恢复，缩短疼痛缓解时间及骨折愈合时间，具有显著的临床疗效。本研究为桡骨远端骨折术后肿胀的管理提供了新的治疗选择，值得在临床中推广应用。

Abstract

Objective This study aims to explore the clinical application value of Zhixue Zhentong Capsules in the treatment of postoperative swelling after distal radius fractures, evaluate its efficacy in alleviating postoperative swelling, promoting the recovery of wrist joint function, and shortening the pain relief time, and provide a basis for optimizing the postoperative treatment plan of distal radius fractures.
Methods A randomized controlled trial design was adopted. Sixty patients with distal radius fractures diagnosed and treated in our hospital were randomly divided into a control group and an observation group, with 30 cases in each group. All patients underwent reduction and internal fixation. After the operation, the control group adopted the conventional rehabilitation program, including active flexion and extension training of the elbow joint and finger joint and symptomatic treatment. The observation group was treated with hemostatic analgesia Capsules as an adjunctive therapy on the basis of the control group. The treatment cycle is 4 weeks, and the assessment indicators include the swelling score of the affected limb and the wrist joint function score (Garland-Werley score and PRWE score). After the treatment, the scores of both groups decreased significantly, but the decline in the observation group was greater.
Conclusion   The combination of Zhixue Zhentong Capsules and conventional rehabilitation therapy can significantly improve postoperative swelling of distal radius fractures, promote the recovery of wrist joint function, shorten the pain relief time and fracture healing time, and has significant clinical efficacy. This study provides a new treatment option for the management of postoperative swelling after distal radius fractures and is worthy of promotion and application in clinical practice.