辅以金天格胶囊治疗老年骨质疏松性粗隆间骨折的疗效观察  

Clinical observation for the treatment of osteoporotic femoral intertrochanteric fracture with DHS combined with Jintiange capsule

作　　者：廖有乔[1] 杨坤[2] 何明武[1] 曹建伟[1] 周伟[1] 

机构地区：[1]郧阳医学院附属太和医院骨Ⅱ科,湖北十堰442000 [2]郧阳医学院附属东风医院内分泌科

出　　处：《中国骨质疏松杂志》2011年第6期523-525,共3页Chinese Journal of Osteoporosis

摘　　要：目的探讨辅以金天格胶囊治疗老年骨质疏松性粗隆间骨折的临床疗效。方法对44例患者随机采用内固定术手术治疗(对照组)或采用内固定治疗基础上辅以金天格胶囊治疗(治疗组)。应用骨痂定量分析方法,比较两组患者在术后不同时间X线表现,以及两组患者治疗前后患侧股骨近端骨密度(bone mineral density,BMD)值变化和术后疗效。结果治疗组患者的骨痂、骨质生成的时间均较对照组明显缩短。治疗组治疗后比治疗前患侧股骨近端BMD有所增加(P<0.05),而对照组无明显差异(P>0.05)。且治疗组术后疗效的优良率高于对照组(P<0.05)。差异有统计学意义。结论辅以金天格胶囊治疗老年骨质疏松性粗隆间骨折能有效减少患者的卧床时间,加速骨折的愈合,便于早期功能锻炼和患髋的功能恢复。Objective To study the effectiveness of DHS combined with Jintiange Capsule in the treatment of osteoporotic femoral intertrochanteric fractures. Methods Forty-four cases of osteoporotic femoral intertrochanteric fractures were randomly treated with either DHS or DHS combined with Jintiange Capsule. They were followed up at the end of 4, 8, and 12 weeks with X-ray, were compared with the therapeutic results and the change of the bone mineral density（BMD） in the proximal end of the femur. Among them, 22 cases were treated with DHS, while the other 22 with DHS combined with Jintiange Capsule. Results The union of fracture and the therapeutic effect of the therapeutic group was better than the other group; after 6 months, the BMD of the proximal end of the femur in the therapeutic group in post-treatment was higher than in pretherapy （P 〈 0. 05 ） , while the result of the other group was not notable（P 〉 0. 05 ）. Conclusion In treating osteoporotic femoral intertrochanteric fractures, DHS combined with drug can reduce the time in bed, efficiently promote growth of osteothlus, accelerate union of fractures, and facilitate functional recovery.

关 键 词：金天格胶囊 骨质疏松 粗隆间骨折 

分 类 号：R264[医药卫生—中医外科学]