| Objective:By the therapy of "Jieqi capsule" and the clinical observation of fractures about extremal fixation, to further discuss the clinical value on Percutaneous stent external fixation of calcaneal fractures patients.Methods:This clinical study includes 70 cases who were admitted by quan zhou zheng gu hospital and diagnosed as Percutaneous stent external fixation of calcaneal fracture. Therefore, they are randomly divided into Group A (experiential group) and Group B (matched group) Group B:In addition to conventional treatment given after surgery and given conventional treatment with aescin sodium lOmg intravenous outer join NS 100ml qd promote swelling, treatment lasted for 10 days; Group A:In addition to conventional treatment given after surgery and given conventional treatment with aescin sodium 10mg intravenous outer join NS 100ml qd and to " Jieqi capsule " oral (meal), three times a day, and each time takes 0.9 grams per oral, the treatment lasted for 10 days. Eventually,61 patients met the criteria (45 cases of male patients and 16 cases of female patients, the youngest is 24 years old and the oldest is 59years old, the average is 39.75 years).For the first time to take medchine after the operation as well as every morning from the first day to the tenth day, their ankle-calcaneal-ankle circumference (measuring method:inelastic tape around the heel through the lower edge of the bi-lateral malleolus and calcaneal tubercle, measured its length) should be measured, and the record of pain scores (VAS score) also be asked about on time. Moreover,observing and taking notes as long as the patients’acrotarsiums (metatarsophalangeal joint in front of the rear foot to the ankle joint dorsal skin) appeared.Results:Both Group A and Group B did not have any drug allergy or felt uncomfortable. Three patients in group A had discharged themselves from hospital in advance, alone with two patients who occurred phlebitis at the halfway. Two patients in Group B were discharged, and two patients who occurred phlebitis at the halfway. All indexes statistical results are as follows:1, A, B groups of patients tissue swelling peak and average time back foot striae appear were statistically difference (P=0.032<0.05, P= 0.038<0.05); 2, ankle with an ankle circumference measurements are shown:in the first days after treatment 3,6,10 A, B two groups of patients with ankle swelling of the ankle circumference having a statistically significant difference (P<0.05); 3, VAS scores showed:3,6,10 days after the first treatment a, B groups VAS scores in patients with significant difference (P<0.05); 4, shown efficacy evaluation:excellent Group A and Group B swelling efficacy rate has significant differences (P<0.05).Conclusion:Group A appeared earlier than B about whose soft tissue swelling peak and dorsal striae,and has some differences in statistics;Group A’s ankle with ankle swelling values and VAS scores were less than Group B, and also has some differences in statistics;Apparently, Group A has a better effect than Group B in the treatment of swelling. Therefore, Description exhaust seven capsules of calcaneal fractures external fixation after percutaneous soft tissue swelling, pain has a good therapeutic effect. |