摘要
目的:观察发散式冲击波联合消肿活血汤对股骨颈骨折术后的影响,为临床预防股骨头坏死提供思路。方法:纳入2018年1月-2019年6月在本院治疗的73例股骨颈骨折患者,按入院顺序分为中药组(24例,消肿活血汤)、冲击波组(25例,发散式冲击波治疗)、联合组(24例,联合治疗)。比较三组VAS评分、髋关节Harris评分、碱性磷酸酶(ALP),比较三组骨折线消失时间和股骨头坏死发生率。结果:治疗后1个月,联合组VAS评分低于冲击波组和中药组,差异有统计学意义(P<0.05)。治疗后3、6个月,三组VAS评分比较差异无统计学意义(P>0.05)。联合组髋关节Harris评分明显高于中药组和冲击波组,差异有统计学意义(P<0.05)。治疗后,联合组骨折线消失时间是(4.43±0.54)个月,早于中药组的(4.75±0.78)个月,冲击波组的(4.73±0.69)个月,差异有统计学意义(P<0.05)。联合组坏死发生率为8.33%,中药组坏死发生率为25.00%,冲击波组坏死发生率为20.00%,差异无统计学意义(P>0.05)。结论:发散式冲击波联合消肿活血汤可以有效减轻股骨颈骨折术后髋部的疼痛,提高远期髋部功能,促进股骨颈骨折愈合,对于减少股骨头坏死的发生率,具有一定的临床作用。
Objective:To observe the effect of divergent shock wave combined with Xiaozhong Huoxue Decoction on femoral neck fracture after operation,and provide ideas for clinical prevention of femoral head necrosis.Method:A total of 73 femoral neck fracture patients treated in our hospital from January 2018 to June 2019 were divided into traditional Chinese medicine group (24 cases,Xiaozhong Huoxue Decoction),shock wave group (25 cases,divergent shock wave) and combination group (24 cases,combination treatment) according to the order of admission.The VAS score,hip Harris score and alkaline phosphatase (ALP) were compared among the three groups,the time of fracture line disappearance and the incidence of femoral head necrosis were compared among the three groups.Result:1 months after treatment,the VAS score of combined group was lower than that of shock wave group and traditional Chinese medicine group,the difference was statistically significant (P<0.05);3,6 months after treatment,there was no significant difference in VAS score among the three groups (P>0.05).The Harris score of hip joint in the combined group was significantly higher than that in the traditional Chinese medicine group and the shock wave group,the difference was statistically significant (P<0.05).After treatment,the time of fracture line disappearance of the combined group was (4.43±0.54) months,earlier than (4.75±0.78) months of traditional Chinese medicine group,(4.73±0.69) months of shock wave group,the differences were statistically significant (P<0.05).The incidence of necrosis was 8.33% in combination group,25.00% in traditional Chinese medicine group and 20.00% in shock wave group,the difference was not statistically significant (P>0.05).Conclusion:Divergent shock waves can effectively reduce the pain of hip after the operation of femoral neck fracture,improve long-term hip function,promote the healing of femoral neck fracture,and has certain clinical value for slowing down the incidence of femoral head necrosis.
作者
陈振南
何亚标
陈定家
林映欣
庄晨
林月青
CHEN Zhennan;HE Yabiao;CHEN Dingjia;LIN Yingxin;ZHUANG Chen;LIN Yueqing(Zhangzhou Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Chinese Medicine,Zhangzhou 363000,China;不详)
出处
《中外医学研究》
2021年第33期29-32,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
2018年福建省卫生计生青年科研课题项目(2018-2-44)。
关键词
发散式冲击波
股骨颈骨折
股骨头坏死
疗效
Divergent shock wave
Femoral neck fracture
Femoral head necrosis
Effect
