摘要
目的:研究防旋转股骨近端髓内钉(PFNA)联合术后中药外敷对股骨转子间骨折(IF)的治疗效果及预后的影响。方法:选取2016年1月—2018年7月我院收治的IF患者82例。随机等分成试验组及对照组。对照组予以动力髋螺钉治疗,试验组则予以PFNA联合术后中药外敷治疗。比较两组临床疗效,骨折愈合时间、住院时间、医疗费用,以及治疗前后血清神经生长因子(NGF)水平,并比较治疗前后疼痛程度。结果:试验组Harris髋关节功能评价优良率为80.49%,高于对照组的56.10%(P<0.05)。试验组骨折愈合时间[(14.25±2.34)周]、住院时间[(20.24±3.55)d]以及医疗费用[(2.15±0.53)万元]均低于对照组的[(22.42±3.15)周]、[(29.43±3.83)d]、[(3.32±0.72)万元],差异有统计学意义(均P<0.05)。治疗后试验组与对照组的血清NGF水平高于治疗前,且试验组[(957.43±112.25)ng/L]高于对照组[(762.29±87.55)ng/L],差异有统计学意义(P<0.05)。治疗后两组VAS评分均低于治疗前,且试验组[(0.13±0.02)分]低于对照组[(0.57±0.23)分],差异有统计学意义(P<0.05)。结论:PFNA联合术后中药外敷应用于IF患者的疗效显著,可促进其早日康复。同时有利于改善血清NGF水平,缓解疼痛,值得临床推广应用。
Objective To study the function and prognostic effect of anti-rotatory proximal femur intramedullary nail combined postoperative external application of traditional Chinese medicine in the treatment of intertrochanteric fracture.Methods 82 cases of patients with intertrochanteric fractures admitted to our hospital from January 2016 to July 2018 were selected as research objects.They were divided into experimental group and control group by random draw.The control group received dynamic hip screw therapy,while the experimental group received anti-rotatory proximal femoral intramedullary nail therapy combined postoperative external application of traditional Chinese medicine.The two groups were compared in terms of clinical efficacy,fracture healing time,hospitalization time,medical expenses,serum nerve growth factor(NGF)level before and after treatment,and pain degree before and after treatment.Results The Harris hip function evaluation of excellent and good rate was 80.49%in the experimental group,which was better than that in the control group of 56.10%(P<0.05).The healing time[(14.25±2.34)weeks],hospitalization time[(20.24±3.55)days]and medical expenses[(2.15±0.53)ten thousands yuan]of the test group were lower than those of the control group of[(22.42±3.15)weeks],[(29.43±3.83)days],[(3.32±0.72)ten thousands yuan](all P<0.05).After treatment,serum NGF levels in the experimental group and the control group were higher than those before treatment,and the experimental group[(957.43±112.25)ng/L]was higher than that of the control group of[(762.29±87.55)ng/L](both P<0.05).VAS scores of the experimental group and the control group were lower after treatment than those before treatment.The experimental group[(0.13±0.02)score]was lower than that of the control group of[(0.57±0.23)score](both P<0.05).Conclusion The application of antirotatory proximal femoral intramedullary nail combined postoperative external application of traditional Chinese medicine in patients with intertrochanteric fractures has a signif
作者
刘宗海
李俊光
孙大川
LIU Zong-hai;LI Jun-guang;SUN Da-chuan(Department of Orthopedics,Fengcheng Hospital,Fengxian District of Shanghai,Shanghai(201411),China)
出处
《中国中西医结合外科杂志》
CAS
2020年第5期892-896,共5页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
股骨转子间骨折
防旋转股骨近端髓内钉
中药外敷
肢体功能
神经生长因子
Intertrochanteric fracture of femur
antirotation proximal femoral intramedullary nail
external application of traditional Chinese medicine
limb function
nerve growth factor
