首页|复元活血汤剂辅助手术治疗老年股骨粗隆间骨折的效果及对炎症反应、凝血功能的影响

复元活血汤剂辅助手术治疗老年股骨粗隆间骨折的效果及对炎症反应、凝血功能的影响

扫码查看
目的:研究复元活血汤剂辅助手术治疗老年股骨粗隆间骨折(Intertrochanteric Fracture,ITF)的效果及对炎症反应、凝血功能的影响.方法:随机将 2019 年4 月至 2022 年 4 月我院收治的老年ITF患者 96 例分为对照组、试验组,各 48 例.对照组采用手术治疗,试验组采用复元活血汤剂辅助手术治疗.比较两组临床疗效、术后恢复情况(骨痂生成、术后负重、住院、骨折愈合)、视觉模拟疼痛评分(Visual analogue scale,VAS)、肿胀值、凝血功能、骨代谢指标、炎性因子.结果:试验组优良率高于对照组(P<0.05);与对照组相比,治疗后试验组骨痂生成时间、术后负重时间、住院时间、骨折愈合时间较短,试验组肿胀值、VAS评分更低,试验组凝血功能指标降低幅度更大,试验组骨代谢指标水平更高,试验组炎症因子水平更低(P<0.05).结论:复元活血汤剂辅助手术治疗老年ITF患者疗效显著,可减轻炎症反应,降低疼痛、肿胀程度,调节机体凝血功能,改善骨代谢,加速髋关节功能恢复.
Effect of Fuyuan Huoxue Decoction assisted operation on elderly patients with intertrochanteric fracture of femur and its influence on inflammation and coagulation function
Objective:To investigate the efficacy of Fuyuan Huoxue Decoction assisted operation in the treatment of senile patients with Intertrochanteric Fracture(ITF)and its effects on inflammatory response and coagulation function.Methods:A total of 96 elderly patients with ITF admitted to our hospital from April 2019 to April 2022 were randomly divided into control group and test group,with 48 cases in each group.The control group was treated with surgery,and the test group was treated with Fuyuan Revitalizing Blood Soup as an adjunct to surgery.The clinical efficacy,postoperative recovery(bone scab production,postoperative weight bearing,hospitalization,fracture healing),visual analogue scale(VAS),swelling value,coagulation function,bone metabolic index and inflammatory factors were compared between the two groups.Results:The excellent rate of the test group was higher than that of the control group(P<0.05);compared with the control group,the time to bone scab production,postoperative weight-bearing time,hospital stay and fracture healing time were shorter,the swelling value and VAS score were lower in the test group,the reduction in coagulation indexes was greater in the test group,the level of bone metabolic indexes was higher in the test group and the level of inflammatory factors was lower in the test group(P<0.05).Conclusion:Fuyuan Huoxue Decoction has significant curative effect in the adjuvant surgery for elderly patients with ITF,which can reduce inflammation,reduce pain and swelling,regulate the body's coagulation function,improve bone metabolism,and accelerate the recovery of hip joint function.

Fuyuan Huoxue DecoctionIntertrochanteric fracture of femurBone metabolismCoagulation functionHip function

严晓强、王小伟、程国芳

展开 >

三门峡骨科医院,河南 三门峡 472131

复元活血汤 股骨粗隆间骨折 骨代谢 凝血功能 髋关节功能

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(2)
  • 15