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

ZHANG Yongxiang; DU Jinsheng; LIU Hongwei

doi:10.7619/jcmp.201915027

Journal of Clinical Medicine in Practice > 2019 > 23(15): 100-102,106. > DOI: 10.7619/jcmp.201915027

ZHANG Yongxiang, DU Jinsheng, LIU Hongwei. Efficiency observation of surgery combined with Xiaozhong Decoction in treatment of elderlypatients with intertrochanteric fracture of femur[J]. Journal of Clinical Medicine in Practice, 2019, 23(15): 100-102,106. DOI: 10.7619/jcmp.201915027

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

1.
Department of Surgery, Yichuan County Hospital of Traditional Chinese Medicine, Yan′an, Shaanxi, 716200
2.
Department of Orthopedics, Baishui County Hospital, Weinan, Shaanxi, 715600

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Received Date: May 14, 2019
Revised Date: June 25, 2019
Available Online: February 23, 2021
Published Date: August 14, 2019

Graphical Abstract

Abstract

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 3^rd, 5^th and 7^th 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.
- intertrochanteric fracture of femur,
- operation,
- Xiaozhong Decoction,
- degree of swelling

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References (24)

References

[1]	孙宣, 鲍自立, 傅强, 等. 苏中地区3所中医院老年股骨颈与股骨粗隆间骨折的流行病学分析[J]. 中国骨与关节损伤杂志, 2018, 33(2): 161-162. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201802018.htm
[2]	翁蔚宗, 李密, 周启荣, 等. 髋部骨折流行病学分布特点: 单中心2859例分析[J]. 第二军医大学学报, 2017, 38(4): 415-420. https://www.cnki.com.cn/Article/CJFDTOTAL-DEJD201704004.htm
[3]	秦宏敏, 刘汉涛, 余东洋. 高龄股骨粗隆间骨折手术治疗生存率分析[J]. 中国矫形外科杂志, 2017, 25(2): 123-125. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS201702006.htm
[4]	栾斐宇, 王文波. 高龄股骨粗隆间骨折手术治疗进展[J]. 医学综述, 2017, 23(17): 3441-3444. doi: 10.3969/j.issn.1006-2084.2017.17.025
[5]	杨大伟, 宋雪, 罗宗键. 内固定治疗老年股骨粗隆间骨折回顾性分析[J]. 吉林中医药, 2017, 37(8): 809-810. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJL201708015.htm
[6]	张雪峰. 中西医结合治疗股骨粗隆间骨折的疗效评价[J]. 长春中医药大学学报, 2018, 34(3): 142-144. https://www.cnki.com.cn/Article/CJFDTOTAL-CZXX201803042.htm
[7]	中华医学会. 临床诊疗指南·骨科分册[M]. 北京: 人民卫生出版社, 2009: 45-47.
[8]	艾登斌, 谢平, 许慧. 简明疼痛学[M]. 北京: 人民卫生出版社, 2016: 86-88.
[9]	王鑫, 闫斌. 中西医结合治疗对老年股骨粗隆间骨折术后髋关节功能的影响[J]. 陕西中医, 2017, 38(7): 928-929. doi: 10.3969/j.issn.1000-7369.2017.07.058
[10]	刘立云, 王璘琳, 刘又文, 等. "破、和、补"平乐正骨辨证理论在老年股骨粗隆间骨折围手术期的应用[J]. 世界中医药, 2017, 12(8): 1855-1858. doi: 10.3969/j.issn.1673-7202.2017.08.033
[11]	吴利军. 3种内固定手术治疗老年股骨粗隆间骨折的临床对照研究[J]. 重庆医学, 2017, 46(12): 103-106. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX201712036.htm
[12]	崔勇, 王鹏, 陈会超, 等. 股骨近端防旋髓内钉内固定治疗股骨粗隆间骨折的应用体会[J]. 中国矫形外科杂志, 2017, 25(10): 946-949. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS201710018.htm
[13]	叶茂, 罗猛, 邹毅, 等. PFNA与DHS内固定治疗股骨粗隆间骨折的效果比较[J]. 中国矫形外科杂志, 2017, 25(16): 1515-1518. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS201716016.htm
[14]	屈平义. 辨证分期内外用药配合治疗不稳定型股骨粗隆间骨折临床研究[J]. 陕西中医, 2017, 38(7): 926-927. doi: 10.3969/j.issn.1000-7369.2017.07.057
[15]	叶合, 吴景玲, 吕圭源, 等. 当归和黄芪提取物对大鼠体内人参皂苷吸收的影响[J]. 中国临床药理学杂志, 2017, 33(7): 620-623. https://www.cnki.com.cn/Article/CJFDTOTAL-GLYZ201707013.htm
[16]	熊晓莉. 五苓散与当归补血汤用于四肢骨折后肢体肿胀治疗的效果观察[J]. 临床合理用药杂志, 2017, 10(8): 61-61. https://www.cnki.com.cn/Article/CJFDTOTAL-PLHY201708040.htm
[17]	镇万源. 当归活血酒联合切开复位内固定术对肱骨近端骨折临床疗效观察[J]. 湖北中医药大学学报, 2018, 20(3): 72-74. doi: 10.3969/j.issn.1008-987x.2018.03.20
[18]	李瑞, 李彦程, 武玉卓, 等. 赤芍水提物化学成分的研究[J]. 中国中药杂志, 2018, 43(14): 2956-2963. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZY201814017.htm
[19]	章丽, 赵冰洁, 袁嘉瑞, 等. 牡丹皮、赤芍与白芍对急性血瘀模型大鼠活血功效的比较研究[J]. 中草药, 2016, 47(15): 2676-2683. https://www.cnki.com.cn/Article/CJFDTOTAL-ZCYO201615019.htm
[20]	王潇毅, 田晓轩, 张砚, 等. 基于活性筛选和靶标网络预测的蒲黄和赤芍选择性抑制血小板聚集作用[J]. 中国实验方剂学杂志, 2017, 23(1): 120-126. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSFX201701021.htm
[21]	王世祥, 王洁, 马翠翠, 等. 红花-甘草配伍对寒凝血瘀大鼠肠系膜动脉血管舒缩功能的影响[J]. 中国医院药学杂志, 2018, 38(4): 387-389. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYZ201804010.htm
[22]	邵礼梅, 许世伟, 苏玉娟. 红花药物分析、化学成分及现代药理研究进展[J]. 中医药信息, 2017, 34(2): 123-125. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXN201702036.htm
[23]	李慧敏. 红花注射液联合重组组织型纤溶酶原激活剂对急性脑梗死的疗效、血液流变学和血脂的影响[J]. 药物评价研究, 2018, 41(6): 1098-1101. https://www.cnki.com.cn/Article/CJFDTOTAL-YWPJ201806030.htm
[24]	袁智锐. 骨牵引联合中药三期辨证治疗高龄股骨粗隆间骨折[J]. 吉林中医药, 2017, 37(11): 1121-1124. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJL201711012.htm

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