目的 探討芪骨膠囊聯(lián)合骨瓜提取物注射液治療中老年不穩(wěn)定型橈骨遠(yuǎn)端骨折的臨床療效。方法 選取2015年10月-2016年12月高唐縣人民醫(yī)院收治的中老年橈骨遠(yuǎn)端骨折患者116例，隨機(jī)分為對照組和治療組，每組各58例。對照組靜脈滴注骨瓜提取物注射液，50 mg加入5%葡萄糖溶液250 mL中，1次/d；治療組在對照組的基礎(chǔ)上口服芪骨膠囊，3粒/次，3次/d。兩組均持續(xù)治療4周。觀察兩組的臨床療效，同時(shí)比較兩組治療前后VAS評分、腫脹程度及其疼痛緩解、腫脹消除和骨折愈合的時(shí)間。結(jié)果 治療后，兩組總有效率比較差異不具有統(tǒng)計(jì)學(xué)意義。治療1、4周后，兩組患者VAS評分和腫脹程度評分均顯著降低，同組治療前后比較差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）；且治療1周后治療組的上述評分明顯低于對照組，兩組比較差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。治療后，治療組疼痛緩解時(shí)間、消腫時(shí)間以及骨折愈合時(shí)間均較對照組明顯縮短，兩組比較差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 芪骨膠囊聯(lián)合骨瓜提取物注射液治療中老年不穩(wěn)定型橈骨遠(yuǎn)端骨折能有效減輕患者疼痛和腫脹情況，縮短止痛、消腫以及骨折愈合的時(shí)間，具有一定的推廣應(yīng)用價(jià)值。

Objective To explore the clinical effect of Qigu Capsules combined with Gugua Extractives Injection in treatment of middle-aged and old patients with unstable distal radial fractures. Methods Middle-aged and old patients (116 cases) with unstable distal radial fractures in Gaotang County People's Hospital from October 2015 to December 2016 were randomly divided into control and treatment groups, and each group had 58 cases. The patients in the control group were iv administered with Gugua Extractives Injection, 50 mg added into 5% glucose solution 250 mL, once daily. The patients in the treatment group were given Qigu Capsules on the basis of control group, 3 grains/time, three times daily. The patients in two groups were treated for 4 weeks. After treatment, the clinical efficacy was evaluated, and the VAS and swelling situation scores, and pain relief, swelling, and fracture healing time were compared. Results After treatment, there was no significant difference of the clinical efficacies between the control and treatment groups. After treatment for 1 week, the VAS and swelling situation scores were significantly decreased, and the difference was statistically significant in the same group (P<0.05). After treatment, the scores in the treatment group were significantly lower than those in the control group, with significant difference between two groups (P<0.05). After treatment, the pain relief, swelling, and fracture healing time were significantly shorter than those in the control group, and there were differences between two groups (P<0.05). Conclusion Qigu Capsules combined with Gugua Extractives Injection in treatment of middle-aged and old patients with unstable distal radial fractures can effectively reduce the pain and swelling, and shorten the time of pain, swelling, and fracture healing, which has a certain clinical application value.