首页|防旋股骨近端髓内钉联合中药治疗老年股骨转子间骨折疗效观察

防旋股骨近端髓内钉联合中药治疗老年股骨转子间骨折疗效观察

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目的:观察防旋股骨近端髓内钉(proximal femoral nail antirotation,PFNA)微创内固定结合中药内服治疗老年股骨转子间骨折的临床疗效.方法:选择 2022 年 9 月—2023 年 5 月在安徽中医药大学第一附属医院骨科确诊为股骨转子间骨折并同意进行手术治疗的患者 60 例,按照随机数字表法随机分为 2 组,对照组 30 例单纯行PFNA微创内固定治疗,治疗组 30 例采用PFNA微创内固定结合口服中药治疗.所有患者治疗后随访 6 个月,比较 2 组患者髋关节功能、骨折愈合时间和并发症发生率,使用 SPSS26.0 软件进行数据统计处理和分析.结果:2 组患者术前Harris评分差异无统计学意义;术后 6 个月Harris评分治疗组(83.17±6.17)高于对照组(80.07±5.55),且差异有统计学意义(P<0.05);骨折愈合时间治疗组(13.80±1.65)较对照组(15.32±0.87)短,并发症发生率治疗组 6.7%低于对照组 30%,且差异均具有统计学意义(P<0.05).结论:PFNA微创内固定结合中药内服治疗老年股骨转子间骨折效果理想,有效的改善关节功能,促进骨折愈合,减少并发症,值得临床推广.
Clinical Observation of PFNA Combined with Traditional Chinese Medicine in the Treatment of Intertrochanteric Fractures in the Elderly
Objective:To observe the clinical effect of PFNA minimally invasive internal fixation combined with tra-ditional Chinese medicine in the treatment of intertrochanteric fracture of femur in the elderly.Methods:Sixty patients with intertrochanteric fracture of femur underwent simultaneous surgical treatment in Taihu County Hospital from April 2017 to October 2018 were randomly divided into two groups,30 cases in each group.The control group was treated with closed reduction and PFNA.The treatment group was treated with PFNA minimally invasive internal fixation com-bined with oral Chinese medicine.The hip function index,complication rate and fracture healing time were compared between the two groups.Results:All patients were followed up for 6-18 months after treatment.There was no differ-ence between the two groups.Postoperative Harris score in the treatment group(83.17+6.17)was higher than that in the control group(80.07+5.55),and the difference works(P<0.05).Fracture healing time in the treatment group(13.80+1.65)was shorter than that in the control group(15.32+0.87).The incidence of complications in the treatment group was 6.7%lower than that in the control group(P<0.05).Conclusion:PFNA minimally invasive internal fixation combined with traditional Chinese medicine oral treatment of intertrochanteric fracture of the femur in the elderly has a good effect,which is worthy of clinical promotion.

PFNAMinimally invasive internal fixationTraditional Chinese medicineIntertrochanteric fracture of femur in the elderlyClinical observation

廖善军、李文华

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安徽中医药大学 安徽 合肥 230031

安徽中医药大学第一附属医院 安徽 合肥 230031

防旋股骨近端髓内钉 微创内固定 中药 老年股骨转子间骨折 临床观察

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(11)