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姚金龙,李益亮,冯海波,李娟,孙绍卫.股骨近端防旋髓内钉联合补肾活血方治疗老年股骨不稳定型转子间骨折的临床观察[J].湖南中医药大学学报英文版,2023,43(1):143-147.[Click to copy
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| 股骨近端防旋髓内钉联合补肾活血方治疗老年股骨不稳定型转子间骨折的临床观察 |
| 姚金龙,李益亮,冯海波,李娟,孙绍卫 |
| (湖南中医药大学第二附属医院, 湖南 长沙 410006) |
| 摘要: |
| 目的 探讨股骨近端防旋髓内钉(proximal femoral nail antirotation,PFNA)联合补肾活血方治疗老年不稳定型股骨转子间骨折的临床疗效。方法 将纳入研究的60例股骨转子间骨折患者随机分为观察组和对照组，每组30例。观察组采用PFNA固定术联合补肾活血方治疗，对照组单纯采用PFNA内固定治疗。观察两组患者卧床时间、骨折临床愈合时间，术前、术后2周、6周的疼痛视觉模拟评分（visual analogue scale,VAS），术前、术后12周的髋关节Harris评分（包括疼痛、行走能力、生活能力、关节活动度和畸形、髋关节功能总分），以及治疗后的优良率。结果 术后，观察组骨折临床愈合时间与卧床时间均短于对照组（P<0.05）；术后2周、6周，两组VAS评分均低于术前，且观察组VAS评分均低于对照组，差异均有统计学意义（P<0.05）；术后12周，两组髋关节疼痛评分、行走能力评分、生活能力评分、关节活动度和畸形以及髋关节功能总分均高于术前，且观察组上述评分均高于对照组，差异均有统计学意义（P<0.05）；观察组髋关节治疗的优良率（90.0%）高于对照组（73.3%），差异有统计学意义（P<0.05）。结论 在PFNA内固定的基础上联合应用补肾活血方，可有效促进老年不稳定型股骨转子间骨折患者髋关节功能的恢复，改善患者生活质量。 |
| 关键词: 股骨近端防旋髓内钉 补肾活血方 转子间骨折 骨折临床愈合时间 VAS评分 Harris评分 临床疗效 |
| DOI：10.3969/j.issn.1674-070X.2023.01.023 |
| Received:December 31, 2021 |
| 基金项目:湖南省中医药管理局项目（202135）；湖南省自然科学基金项目（2022JJ50049）；湖南省教育厅一般项目（17C1230）；湖南省中医骨伤临床医学研究中心（2020SK4013）。 |
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| Clinical effects of PFNA combined with Bushen Huoxue Formula in treating elder patients with femoral unstable intertrochanteric fracture |
| YAO Jinlong,LI Yiliang,FENG Haibo,LI Juan,SUN Shaowei |
| (The Second Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410006, China) |
| Abstract: |
| Objective To discuss the clinical efficacy of proximal femoral nail anti rotation (PFNA) combined with Bushen Huoxue Formula in the treatment of elder patients with unstable intertrochanteric fractures. Methods A total of 60 elder patients with intertrochanteric fracture were randomly divided into observation group and control group, with 30 patients per group. The observation group was treated with PFNA fixation combined with Bushen Huoxue Formula, while the control group was treated with PFNA internal fixation alone. The bedtime, clinical healing time of fracture, visual analog scale (VAS) of pain (before operation, 2 weeks and 6 weeks after operation), Harris score of hip joint including pain, walking ability, living ability, joint mobility and deformity, total score of hip joint function (before operation and 12 weeks after operation), and the excellent and good rates after treatment were observed. Results After operation, the clinical healing time and bedtime of the observation group were shorter than those in the control group (P<0.05); 2 and 6 weeks after operation, the VAS scores in both groups were lower than those before operation, and the VAS scores in the observation group were significantly lower than those in the control group (P<0.05); 12 weeks after operation, the total scores of hip joint pain, walking ability, living ability, joint range of motion, deformity and hip joint function in the two groups were higher than those before operation, and the above scores in the observation group were significantly higher than those in the control group (P<0.05); the excellent and good rates of hip joint treatment in the observation group (90.0%) was higher than those in the control group (73.3%), with a significant statistical difference (P<0.05). Conclusion Combining Bushen Huoxue Formula with PFNA internal fixation can effectively promote the recovery of hip joint function and improve the life quality of elder patients with femoral unstable intertrochanteric fracture. |
| Key words: proximal femoral nail antirotation Bushen Huoxue Formula intertrochanteric fracture fracture healing time visual analogue scale score Harris score clinical efficacy |
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