摘要
目的研究探讨止血补血方对老年股骨转子间骨折术后隐性失血患者血常规及并发症影响分析,为后续临床治疗奠定理论基础。方法选自我院2018年11月至2019年10月收治的68例老年股骨转子间骨折术后隐性失血患者,对照组34例术后进行常规治疗,研究组34例患者在对照组基础上服用止血补血方剂,对比分析两组患者隐性出血量、术后血红蛋白以及血小板计数、髋关节评分、并发症发生率等。结果两组患者在手术后1 d、手术后3 d、手术后5 d、手术后14 d的隐性出血量均显著低于对照组;术后研究组患者血红蛋白以及血小板计数显著高于对照组;术后研究组患者Harris髋关节评分显著高于对照组评分(P<0.05),差异有统计学意义;研究组患者术后并发症发生率为2.94%显著低于对照组的17.64%(P<0.05),差异有统计学意义。结论止血补血方应用于股骨转子间骨折术后隐性失血患者并结合科学有效的护理可以有效降低出血影响,降低不良并发症发生率,可在临床大范围推广应用。
Objective To study and explore the effect of Zhixuebuxue Decoction on routine blood indices and complications in elderly patients with occult blood loss after the surgery of intertrochanteric fracture,so as to lay a theoretical foundation for subsequent clinical treatment.Methods A total of 68 elderly patients with occult blood loss after the surgery of intertrochanteric fractures were selected in our hospital from November 2018 to October 2019.34 patients in the control group were given conventional treatment after surgery.34 patients in the study group were given hemostatic and nourishing prescriptions on the basis of the control group.The occult bleeding volume,postoperative hemoglobin and platelet count,hip joint score,and complication rate were compared and analyzed between the two groups.Results The amounts of occult bleeding in both groups of patients 1 day after surgery,3 days after surgery,5 days after surgery,and 14 days after surgery were significantly lower than those in the control group;the hemoglobin and platelet counts in the study group were significantly higher than those in the control group after surgery;the Harris hip score in the study group was significantly higher than that in the control group(P<0.05),and the difference was statistically significant;the postoperative complication rate in the study group was 2.94%,which was significantly lower than that of 17.64% in the control group(P<0.05),and the difference was statistically significant.Conclusion The application of Zhixuebuxue decoction for patients with occult blood loss after the surgery of intertrochanteric fracture,combined with scientific and effective nursing care,can effectively reduce the impact of bleeding and reduce the incidence rate of adverse complications,which can be widely popularized and used in clinical practice.
作者
傅晓婷
张亮
舒琼燕
陈艳
FU Xiaoting;ZHANG Liang;SHU Qiongyan;CHEN Yan(Department of Orthopedics,Hangzhou Hospital of TCM,Hangzhou 310007,China)
出处
《中国现代医生》
2021年第22期184-187,共4页
China Modern Doctor
基金
浙江省中医药科技计划项目(2020ZB163)。
关键词
股骨转子间骨折
老年
止血补血方
隐性失血
血常规
并发症
Intertrochanteric fracture
The elderly
Zhixuebuxue decoction
Occult blood loss
Routine blood indices
Complications
