中西医结合治疗股骨粗隆间骨折的疗效观察  

Efficacy of combination of TCM and western medicine in treatment of intertrochanteric fractures

作　　者：陆红日[1] 孟庆波[2] 

机构地区：[1]浙江省台州市中医院骨科,浙江台州318000 [2]浙江机电职业技术学院,浙江杭州310053

出　　处：《中国现代医生》2014年第24期73-75,共3页China Modern Doctor

基　　金：浙江省教育厅科研资助项目(Y201328842)

摘　　要：目的：观察中西医结合治疗股骨粗隆间骨折的疗效。方法选取2009年1月~2011年1月在我院住院治疗的资料完整的股骨粗隆间骨折患者100例,采用随机数字表法分为观察组和对照组,每组50例,两组均行PFNA内固定,观察组术后同时联合中药治疗,观察并比较两组治疗后的疗效及骨折愈合时间、Harris髋关节功能评分、并发症发生率。结果观察组术后优良率达86%,明显高于对照组的72%,差异有统计学意义（χ2=4.127,P〈0.05）。观察组患者的骨折愈合时间显著短于对照组,但观察组患者的Harris髋关节功能评分明显高于对照组,差异有统计学意义（P〈0.05）。观察组并发症的发生率10%,明显低于对照组患者并发症发生率26%,差异有统计学意义（χ2=11.348,P〈0.05）。结论中西医结合治疗股骨粗隆间骨折具有较好疗效,可以促进骨折愈合,明显改善患者的髋关节功能,降低并发症发生率,值得推广和应用。Objective To observe the efficacy of traditional Chinese medicine and intertrochanteric combination thera-py fractures. Methods From January 2009 to January 2011 in our hospital,100 cases of intertrochanteric fracture pa-tients were randomly divided into observation group and control group,50 cases in each group,the two groups were performed within PFNA fixed,observation group were simultaneously combined traditional Chinese medicine treatment,after treatment,the fracture healing time,Harris hip score,incidence of complications of two groups were compared. Results After treatment,the excellent rate of observation group was 86%,was significantly higher than the control group of 72%,the difference was statistically significant （χ2=4.127,P〈0.05）.The fracture healing time of observation group was significantly shorter than the control group,but Harris hip score of t observation group patients was significantly higher than the control group,the difference was statistically significant （P〈0.05）.The complication rate of observation group was 10%,was significantly lower than the control group of 26%,the difference was statistically significant （χ2=11.348,P〈0.05）. Conclusion Integrative treatment of intertrochanteric fractures with good effect,can promote healing,significantly improve hip function in patients,reduce the incidence of complications,should be promoted and applied.

关 键 词：股骨粗隆间骨折 PFNA内固定 Harris髋关节功能评分 并发症 

分 类 号：R687.3[医药卫生—骨科学]