"筋揉骨正"中医特色疗法在股骨粗隆间骨折术后康复中的应用

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中文摘要：目的:基于"筋揉骨正"理论观察中医特色康复疗法在股骨粗隆间骨折患者术后康复中的应用效果.方法:回顾性分析天津中医药大学第二附属医院2021年6月至2022年6月收治的股骨粗隆间骨折住院患者84例,按照治疗方法不同分为对照组和观察组,每组42例.对照组采用Intertan或PFNA髓内钉固定手术治疗,观察组在其基础上结合中医特色三期辨证治疗.比较2组疗效、中医证候积分、髋关节功能、骨强度及并发症.结果:观察组治疗总有效率高于对照组,观察组治疗后的各项中医证候积分均低于对照组,差异有统计学意义(P＜0.05).观察组治疗后的Harris髋关节评分和骨密度值高于对照组,差异有统计学意义(P＜0.05).2组感染、下肢深静脉血栓、关节僵硬、压疮等并发症发生率差异无统计学意义(P＞0.05).结论:基于"筋揉骨正"理论采用中医特色康复疗法治疗股骨粗隆间骨折术后康复效果显著,可以提高患者髋关节功能和骨密度,安全性良好.

外文标题：Application of TCM Characteristic Treatment in Postoperative Rehabilitation of Femoral Intertrochanteric Fractures Based on"Tendon Softening and Bone Strengthening"

外文摘要：Objective:To observe the application effect of traditional Chinese medicine(TCM)characteristic treatment in postoper-ative rehabilitation of patients with femoral intertrochanteric fractures based on the theory of"tendon softening and bone strengthe-ning".Methods:A total of 84 inpatients with femoral intertrochanteric fractures who were admitted to the Second Affiliated Hospital of Tianjin University of Chinese Medicine from June 2021 to June 2022 were reviewed.According to different treatment methods,the patients were divided into the control group(42 cases)and the observation group(42 cases).The control group was treated with In-tertan or PFNA intramedullary nailing fixation,while the observation group was given three-stage TCM characteristic syndrome dif-ferentiation treatment on the basis of the control group.The therapeutic effects,TCM syndrome scores,hip function,bone strength,and complications in the two groups were compared.Results:The total effective rate of treatment in the observation group was high-er than that in the control group,and TCM syndrome scores were lower than those in the control group,with the difference statisti-cally significant(P＜0.05).After treatment,the Harris hip score and bone mineral density of the observation group were higher than those of the control group(P＜0.05).There was no significant difference in the incidence rates of complications such as infec-tion,lower limb deep venous thrombosis,joint stiffness,and pressure sore between the groups(P＞0.05).Conclusion:The TCM characteristic treatment based on the theory of"tendon softening and bone strengthening"is effective in postoperative rehabilitation of patients with femoral intertrochanteric fractures.It can improve the patients'hip function and bone mineral density,with good safety.

外文关键词：

Tendon softening and bone strengtheningThree-stage syndrome differentiation treatmentFemoral intertrochanteric fracturePostoperative rehabilitationCurative effectTraditional Chinese medicine syndrome scoreHip functionBone strengthApplication effect

作者：

王琳珏、郭锐、李钦宗、王爱国

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作者单位：

天津中医药大学第二附属医院骨伤科,天津,300150

天津市中医药研究院附属医院骨伤科,天津,300120

关键词：

筋揉骨正三期辨证治疗股骨粗隆间骨折术后康复疗效中医证候积分髋关节功能骨强度应用效果

基金：

国家自然科学基金面上项目天津市卫生健康委中医中西医结合科研课题天津市教委科研项目

项目编号：

8237448920230722018KJ029

出版年：

2024

DOI：

10.3969/j.issn.1673-7202.2024.04.014

世界中医药

世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心

影响因子：1.266

ISSN：1673-7202

年,卷(期)：2024.19(4)

参考文献量25