独一味胶囊联合中医正骨手法复位治疗老年股骨粗隆间骨折的随机平行对照研究
Randomized controlled study of elderly patients with intertrochanteric fracture treated with Duyiwei capsule combined with traditional Chinese medicine bone setting manipulation
宋林波 1宋佳明 2陈军军2
作者信息
- 1. 余姚市中医医院 骨科,浙江 余姚 315400
- 2. 余姚市中医医院 关节外科,浙江 余姚 315400
- 折叠
摘要
目的 探讨独一味胶囊联合中医正骨手法复位治疗老年股骨粗隆间骨折临床效果,为临床老年股股粗隆间骨折患者临床治疗方案选择提供参考.方法 选取余姚市中医医院2014年5月~2015年4与收治的老年股骨粗隆间骨折患者86例,采用随机平行对照方法,将患者分成对照组和观察组,每组43例.对照组采用胫骨结节骨牵引,后用牵引弓维持牵引.观察组采用中医正骨手法复位联合独一味胶囊治疗.2组连续治疗2w.比较2组患者治疗后的临床疗效、生活质量评分、疼痛评分、骨折愈合时间、住院时间、Harris评分,评价中医正骨手法复位联合独一味胶囊治疗老年股骨粗隆间骨折的临床效果.结果 2组患者治疗2w后,观察组在生活质量评分、Harris评分明显高于对照组患者,差异有统计学意义(P<0.05);疼痛评分明显I语对照组,骨折愈合时间、住院时间均明显较对照组短,差异有统计学意义(P<0.05).观察组优良率90.7%显著高于对照组65.12%,差异有统计学意义(P<0.05).结论 独一味胶囊联合中医正骨手法复位治疗老年股骨粗隆间骨折疗效确切,有效改善患者临床感受,是适合老年股骨粗隆间骨折患者的一种临床治疗方案.
Abstract
Objective To investigate the effects of Duyiwei capsule combined with traditional bone setting manipulation treatment of senile femoral intertrochanteric fracture clinical effect, for clinical elderly femoral intertrochanteric fracture clinical treatment in patients with reference. Methods 86 elderly patients with intertrochanteric fracture in Yuyao Hospital of Traditional Chinese Medicine from April 2014 to May 2015 were randomly divided into control group and observation group, 43 cases in each group. The control group using tibial tubercle traction, after traction with the traction arch to maintain. The observation group was treated by TCM manipulation combined with Duyiwei capsule. Continuous treatment for two weeks in two groups. The quality of life and clinical efficacy were compared between the two groups after treatment score, pain score, fracture healing time, hospitalization time, Harris score, evaluation of traditional Chinese medicine treatment of manipulative reduction combined with Duyiwei capsule of senile intertrochanteric fracture clinical effect. Results Two groups of patients after 2 weeks of treatment, The quality of life score, the Harris score of the observation group was significantly higher than the control group, the difference was statistically significant (P<0.05), pain scores were significantly I control group, healing time and hospitalization time were significantly shorter than the control group, the difference was statistically significant (P<0.05). The observation group excellent rate 90.7%was significantly higher than the control group 65.12%, the difference was statistically significant (P<0.05). Conclusion Duyiwei capsule combined with TCM manipulation for treatment of intertrochanteric fracture of femur in the elderly curative effect, effectively improve the patient's clinical experience, is suitable for the elderly femoral intertrochanteric fracture patients with a clinical treatment plan.
关键词
独一味胶囊/中医正骨/手法复位/老年股骨粗隆间骨折/随机平行对照Key words
Duyiwei capsule/traditional Chinese medicine/manipulative reduction/intertrochanteric fractures/random parallel control引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据