手术联合中药消肿汤治疗高龄股骨粗隆间骨折的效果观察

Efficiency observation of surgery combined with Xiaozhong Decoction in treatment of elderlypatients with intertrochanteric fracture of femur

  • 摘要:
      目的  探讨手术联合中药消肿汤治疗高龄股骨粗隆间骨折的临床效果。
      方法  将80例高龄股骨粗隆间骨折患者按抽签法分为2组各40例。对照组予以手术治疗,研究组予以手术联合中药消肿汤治疗。比较2组治疗效果。
      结果  术后第3、5、7天时,研究组患肢肿胀程度显著小于对照组,视觉模拟评分法(VAS)评分显著低于对照组(P < 0.05); 研究组骨折愈合时间显著短于对照组(P < 0.05); 术后1、3、6个月时,研究组Harris评分显著高于对照组(P < 0.05)。
      结论  手术联合中药消肿汤治疗高龄股骨粗隆间骨折患者效果确切,可促进患肢肿胀缓解,缩短骨折愈合时间,改善髋关节功能。

     

    Abstract:
      Objective  To explore the clinical effect of operation combined with Xiaozhong Decoction in the treatment of elderly patients with intertrochanteric fracture of femur.
      Methods  Totally 80 elderly patients with femoral intertrochanteric fracture were divided into two groups according to drawing lots, with 40 cases in each group. The control group was treated with surgery, while the study group was treated with surgery and Xiaozhong Decoction. The therapeutic effect was compared between the two groups.
      Results  On the 3rd, 5th and 7th day after operation, the swelling degree of affected limbs in the study group was significantly lower than that in the control group, and the Visual Analogue Scale (VAS) score was significantly lower than that in the control group (P < 0.05). The healing time of fracture in the study group was significantly shorter than that in the control group (P < 0.05). The Harris score in the study group was significantly higher than that in the control group at 1, 3 and 6 months after operation (P < 0.05).
      Conclusion  Operation combined with Xiaozhong Decoction is effective in the treatment of elderly patients with intertrochanteric fracture of femur, which can promote the alleviation of swelling of affected limbs, shorten the healing time of fracture and improve the function of hip joint.

     

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