首页|益肾补骨汤联合康复训练治疗肝肾阴虚型股骨粗隆间骨折的临床观察

益肾补骨汤联合康复训练治疗肝肾阴虚型股骨粗隆间骨折的临床观察

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目的:观察益肾补骨汤联合康复训练治疗肝肾阴虚型骨质疏松性股骨粗隆间骨折患者的临床效果。方法:选择2019 年 3 月—2023 年 3 月在三明市中西医结合医院骨科诊治的肝肾阴虚型骨质疏松性股骨粗隆间骨折患者 72 例,采用随机数表法分成两组,各 36 例。对照组采用碳酸钙D3 片和骨化三醇胶丸治疗,研究组在对照组基础上应用益肾补骨汤联合康复训练治疗。观察两组临床疗效,比较两组治疗前后视觉模拟评分法(VAS)评分、Harris髋关节功能评分、骨密度及骨代谢指标水平。结果:治疗后,研究组总有效率为 97。22%,高于对照组的 77。78%,差异有统计学意义(P<0。05)。两组VAS评分、骨碱性磷酸酶低于治疗前,Harris髋关节功能评分、骨钙素、骨密度均高于治疗前,且研究组VAS评分、骨碱性磷酸酶低于对照组,Harris评分、骨钙素、骨密度均高于对照组,差异有统计学意义(P<0。05)。结论:采用益肾补骨汤联合康复训练治疗肝肾阴虚型骨质疏松性股骨粗隆间骨折患者效果显著,能够有效减轻疼痛,促进髋关节功能的恢复,增强骨代谢水平。
Clinical Efficacy of Yishen Bugu Decoction Combined with Rehabilitation Training in the Treatment of Patients with Liver-kidney Yin Deficiency Type in Osteoporotic Intertrochanteric Fracture of the Femur
Objective:To observe the clinical effect of Yishen Bugu Decoction combined with rehabilitation training on patients with liver-kidney Yin deficiency type in osteoporotic intertrochanteric fracture of the femur.Method:A total of 72 patients with liver-kidney Yin deficiency type in osteoporotic intertrochanteric fracture of the femur were selected from the Department of Orthopedics of Sanming Hospital of Integrated Chinese Traditional and Western Medicine from March 2019 to March 2023.They were divided into two groups by random number table method,with 36 patients in each group.The control group was treated with Calcium Carbonate and Vitamin D3 Tablets and Calcitriol Soft Capsules,and the study group was treated with Yishen Bugu Decoction combined with rehabilitation training on the basis of the control group.The clinical effects of the two groups were observed,and the visual analogue scale(VAS)score,Harris hip joint function scale,bone mineral density and bone metabolism index levels were compared between the two groups before and after treatment.Result:After treatment,the total effective rate of the study group was 97.22%,which was higher than 77.78%of the control group,the difference was statistically significant(P<0.05).The VAS score,bone alkaline phosphatase in both groups were lower than those before treatment,Harris hip function score,osteocalcin,bone mineral density were higher than those before treatment,and VAS score,bone alkaline phosphatase in study group were lower than those in control group,Harris score,osteocalcin bone mineral density were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion:The effect of Yishen Bugu Decoction combined with rehabilitation training on patients with liver-kidney Yin deficiency type in osteoporotic intertrochanteric fracture of the femur is remarkable,which can effectively reduce pain,promote the recovery of hip function and enhance bone metabolism level.

Yishen Bugu DecoctionRehabilitation trainingOsteoporotic intertrochanteric fracture of the femurLiver-kidney Yin deficiencyBone metabolism level

叶伟、彭利平、赖华新

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三明市中西医结合医院 福建 三明 365000

益肾补骨汤 康复训练 骨质疏松性股骨粗隆间骨折 肝肾阴虚 骨代谢水平

三明市科技计划联合资助项目

2022-S-105

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(9)
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