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目的研讨胫骨中下段骨不连患者接受中西医结合疗法治疗的临床价值。方法选择2014年8月-2016年10月我院诊疗的189例胫骨中下段骨不连患者进行临床试验,并按随机自愿原则归组,Ⅰ组89例单纯接受手术治疗,Ⅱ组100例接受中西医结合疗法治疗,评估两组治疗方案的临床应用效果。结果两组治疗前的下肢肿胀程度相比,差异不显著(P>0.05),治疗后,Ⅱ组的下肢肿胀程度显著减轻,优于Ⅰ组,比较差异显著(P<0.05)。随访调查显示,Ⅰ、Ⅱ组的临床愈合率分别为76.4%与94.0%,Ⅱ组相比Ⅰ组高,比较差异显著(P<0.05)。结论对胫骨中下段骨不连患者实施中西医结合疗法治疗,临床愈合率高,下肢肿胀症状恢复快,值得加强推广。
Objective To investigate the clinical value of treating patients with nonunion of middle and distal tibia with integrated traditional Chinese and western medicine. Methods A total of 189 patients with nonunion of lower tibia in our hospital from August 2014 to October 2016 were selected and randomly divided into two groups: 89 cases in group Ⅰ were treated by surgery alone, 100 cases in group Ⅱ Integrative Medicine therapy, evaluation of two groups of clinical effects of treatment programs. Results There was no significant difference between the two groups in the degree of swelling of the lower extremities before treatment (P> 0.05). After treatment, the degree of lower extremity swelling in group Ⅱ was significantly lower than that in group Ⅰ (P <0.05). Follow-up survey showed that the clinical healing rates of group Ⅰ and group Ⅱ were 76.4% and 94.0%, respectively. Compared with group Ⅰ, the clinical healing rates of group Ⅰ and group Ⅱ were significantly higher (P <0.05). Conclusion Integrative treatment of patients with bone nonunion in the middle and lower tibia, high clinical healing rate, lower extremity swelling symptoms recovered quickly, it is worth to strengthen promotion.