首页|独活寄生汤联合针灸治疗对髋关节骨折术后患者下肢微循环及髋关节功能恢复的影响

独活寄生汤联合针灸治疗对髋关节骨折术后患者下肢微循环及髋关节功能恢复的影响

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目的 分析独活寄生汤联合针灸治疗髋关节术后骨折患者的效果.方法 选取 2022 年 1月—2023 年 10月该院收治的 90例髋关节骨折患者为研究对象,按随机数字表法将其分为对照组和观察组,各 45 例.对照组术后行常规西医联合针灸治疗,观察组在对照组基础上加用独活寄生汤治疗,持续治疗 4 周.对比两组下肢微循环指标、髋关节功能恢复情况、不良反应发生情况.结果 治疗后,观察组血液流态积分为(0.50±0.11)分、管襻形态积分(0.31±0.02)分、襻周状态积分(0.16±0.01)分,均低于对照组的(0.63±0.19)分、(0.50±0.06)分、(0.28±0.05)分,白微栓数量为(1.01±0.12)个/min少于对照组的(1.32±0.25)个/min,毛细血管流速为(706.87±41.56)μm/s,快于对照组的(615.97±38.75)μm/s,管襻数目为(6.98±1.84)条/mm,多于对照组的(6.13±1.69)条/mm,髋关节功能评定量表各维度评分分别为(4.01±0.27)分、(34.48±4.21)分、(30.47±4.15)分、(2.49±0.35)分,均高于对照组的(3.42±0.35)分、(27.56±3.89)分、(26.95±3.58)分、(1.68±0.23)分,组间差异有统计学意义(P<0.05).两组均无不良反应发生.结论 独活寄生汤结合针灸可调节髋关节骨折患者下肢微循环,促进髋关节功能恢复.
Effect of Duhuo Parasitic Decoction Combined with Acupuncture on Lower Limb Microcirculation and Hip Function Recovery in Patients with Hip Fracture after Operation
Objective To analyze the effect of Duhuo Parasitic Decoction combined with acupuncture in the treatment of patients with hip fracture after operation.Methods A total of 90 patients with hip fracture admitted to the hospital from January 2022 to October 2023 as the research subjects,they were randomly divided into a control group and an observation group using a random number table method,with 45 cases in each group.The control group was treated with conventional Western medicine combined with acupuncture after surgery,and the observation group was treated with Duhuo Parasitic Decoction for 4 weeks.The microcirculation indexes,hip function recovery and adverse reactions of the lower limbs were compared between the two groups.Results After treatment,the blood flow integral(0.50±0.11)points,loop morphology integral(0.31±0.02)points,and loop state integral(0.16±0.01)points of the observation group were all lower than(0.63±0.19)points,(0.50±0.06)points,and(0.28±0.05)points of the control group,the number of white blood clots in the observation group(1.01±0.12)/min was lower than(1.32±0.25)/min of the control group,and the capillary flow velocity in the observation group(706.87±41.56)μm/s faster than the control group's(615.97±38.75)μm/s,the number of vascular loops in the observation group was(6.98±1.84)/mm,which was higher than(6.13±1.69)/mm in the control group,the Hip Joint Function Assessment Scale scores in the observation group were(4.01±0.27)points,(34.48±4.21)points,(30.47±4.15)points,and(2.49±0.35)points,respectively,which were higher than(3.42±0.35)points,(27.56±3.89)points,(26.95±3.58)points,and(1.68±0.23)points in the control group,and the differences between the groups were statistically significant(P<0.05).No adverse reactions occurred in both groups.Conclusion Duhuo Parasitic Cecoction combined with acupuncture can regulate the microcirculation of lower limbs and promote the recovery of hip function in patients with hip fracture.

Hip fractureMicrocirculationDuhuo Parasitic DecoctionAcupuncture

杨波、王宏、谭翊能、苏博源

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铜仁市中医医院骨伤科,贵州铜仁 554300

广东省东莞市中医院骨伤科,广东东莞 523127

髋关节骨折 微循环 独活寄生汤 针灸

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(6)
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