摘要
目的观察桃红四物汤联合PFNA治疗股骨粗隆间骨折疗效。方法选取我院股骨粗隆间骨折患者110例,根据治疗方法分为防旋型股骨近端髓内钉(PFNA)联合桃红四物汤组(联合组)和PFNA组。测定两组患者治疗前后的血液炎性因子水平,并于患者出院后6个月、12个月分别作髋关节功能评分标准(Harris)评分,评价患者恢复疗效。结果与治疗前相比,治疗后两组患者的炎性因子水平存在显著差异(P<0.05);治疗后两组患者的血液流变学指标存在显著差异(P<0.05);两组患者的Harris节评分均随时间上升,联合组上升显著,联合组各时间段Harris髋关节评分均显著高于PFNA组(P<0.05)。结论 PFNA联合桃红四物汤治疗股骨粗隆骨折的效果较单独使用PFNA的治疗效果更为显著,可在临床上推广使用。
Objective To analysis the effect of Taohong Siwu decoction combined with PFNA in treatment of femoral intertrochanteric fracture.Methods 110 cases of patients with femoral intertrochanteric fracture were divided into proximal femoral nail(PFNA)combined with Taohong Siwu decoction group(combination group)and PFNA group according to the treatment methods.The levels of blood inflammatory factors were measured before and after treatment in both groups.6 and 12 months after discharge,the patients were scored by Harris score to evaluate the recovery effect.Results Compared with before treatment,the levels of inflammatory factors in the two groups were significantly different after treatment(P<0.05);and there was significant difference in hemorheology index between the two groups after treatment(P<0.05);Harris score of both groups increased over time,and that of the combination group increased significantly,The Harris hip score of combined group was significantly higher than that of the PFNA group in each time period(P<0.05).Conclusion PFNA combined with Taohong Siwu decoction is superior to PFNA alone in treatment of femoral trochanteric fracture,it can be widely used in clinic.
作者
李盼祥
田少辉
刘晓峰
温斌
陈菲
王玉
曹婧
孙博
LI Panxiang;TIAN Shaohui;LIU Xiaofeng;WEN Bin;CHEN Fei;WANG Yu;CAO Jing;SUN Bo(Department of Orthopedics,Affiliated Hospital of Hebei University,Baoding071000;Department of Neurosurgery,Affiliated Hospital of Hebei University,Baoding071000;Cadre Ward,Bethune International Heping Hospital of PLA,Shijiazhuang050082)
出处
《湖北中医药大学学报》
2019年第3期34-36,共3页
Journal of Hubei University of Chinese Medicine
基金
河北省保定市科学技术局项目(项目编号:16ZF183)
