首页|自拟补血汤辨证加减对单侧全髋关节置换术后失血性贫血患者的生血作用及预后分析

自拟补血汤辨证加减对单侧全髋关节置换术后失血性贫血患者的生血作用及预后分析

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目的 分析自拟补血汤辨证加减对单侧全髋关节置换术后失血性贫血患者的生血作用及预后.方法 选取我科2015年2月~2017年1月期间行单侧全髋关节置换术后失血性贫血患者88例,随机分为观察组和对照组,每组44例.对照组在行单侧全髋关节置换术后给予单纯西医药治疗,观察组在对照组基础上给予自拟补血汤辨证加减治疗.比较2组贫血临床治疗疗效、生血指标包括血红蛋白(Hb)、红细胞(RBC)、红细胞比容(HCT),并通过术后治疗期间并发症发生情况、髋关节评分比较2组预后差异.结果 观察组总有效率为95.45%,显著高于对照组81.82%(P<0.05);2组治疗前Hb、RBC及HCT水平比较无统计学意义,治疗后观察组Hb(130.23±13.09)g/L、RBC(4.16±0.71)×1012/L及HCT(0.42±0.03)均显著高于对照组(P<0.05);观察组并发症发生率9.10%明显低于对照组25.00%(P<0.05);2组治疗前髋关节功能评分比较无统计学意义,治疗后观察组髋关节功能评分(79.73±5.42)分显著较对照组高(P<0.01).结论 自拟补血汤辨证加减对单侧全髋关节置换术后失血性贫血治疗效果显著,可有效促进患者生血作用、髋关节及运动功能恢复.
Hematosis of modified homemade Buxue decoction discriminate on patients with hemorrhagic anaemia after unilateral total hip arthroplasty and prognostic analysis
Objective To analyze hematosis of modified homemade Buxue decoction discriminate on patients with hemorrhagic anaemia after unilateral total hip arthroplasty and prognosis.Methods88 patients with hemorrhagic anaemia who underwent unilateral total hip arthroplasty in our hospital from February 2015 to Janurary 2017 were selected, they were randomly divided into the observation group and the control group, 44 cases in each group.The control group received pure western medicine after unilateral total hip arthroplasty, the observation group added modified homemade Buxue decoction discriminate on the basis of the control group.Clinical therapeutic effect on anemia, hematosis indexes including hemoglobin (HB), red blood cell (RBC), erythrocrit (HCT) in the two groups were compared, occurrence of complications during postoperative treatment, hip scores were used to compared prognostic differences in the two groups.ResultsTotal effective rate of the observation group 95.45% was significantly higher than the control group (81.82%) (P<0.05);there was no significant difference in Hb, RBC and HCT level before the treatment in the two groups, Hb (130.23±13.09)g/L, RBC (4.16±0.71)×1012/L and HCT (0.42±0.03) in the observation group after the treatment were significantly higher than the control group (P<0.05);complication rate in the observation group 9.10% was significantly lower than the control group (25.00%) (P<0.05);there was no significant difference in hip joint function scores before the treatment in the two groups, hip joint function score in the observation group after the treatment (79.73±5.42)scores was significantly higher than the control group (P<0.01).ConclusionTreatment effect of modified homemade Buxue decoction discriminate on hemorrhagic anaemia after unilateral total hip arthroplasty is significant, can promote recovery of hematosis, hip joint and motor function effectively.

homemade Buxue decoctiondiscriminate modifiedunilateral total hip arthroplastyanemia

翁玉蓉、刘铁民、沈狄

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诸暨市人民医院骨科,浙江诸暨311800

自拟补血汤 辨证加减 单侧全髋关节置换术 贫血

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(5)
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