滋肾骨康丸对骨质疏松性股骨颈骨折术后愈合及髋关节功能的影响  

The Effect of Zishengukang Pill on Fracture Healing and Hip Function of Osteoporotic Femoral Neck Fracture after Operation

作　　者：黄振俊[1] 张立俭[1] 黄静宜[1] 

机构地区：[1]中国人民解放军第309医院,北京100091

出　　处：《中医学报》2015年第4期499-501,共3页Acta Chinese Medicine

基　　金：国家自然科学基金项目(81178201)

摘　　要：目的：观察滋肾骨康丸对骨质疏松性股骨颈骨折术后骨折愈合及髋关节功能的影响。方法：将64例股骨颈骨折术后患者随机分为对照组和观察组，每组各32例。对照组术后给予常规治疗，观察组在对照组基础上口服滋肾骨康丸。术后随访6～12个月，观察术后第1个月、3个月和6个月两组骨密度值及骨折愈合情况，评价髋关节活动功能。结果：与术前相比较，术后第3个月、第6个月两组股骨颈骨密度值均有不同程度增加；观察组骨密度值高于对照组（P〈0．05）。术后两组髋关节功能均有不同程度改善，术后第3个月、第6个月Harris评分明显升高（P〈0．01）；其中术后6个月时，观察组Harris评分高于对照组（P〈0．05）。结论：滋肾骨康丸可有效增加骨质疏松性股骨颈骨折骨密度值、促进骨折愈合，改善髋关节活动功能。Objective：To observe the effects of Zishengnkang Pill （ZSGK） on fracture healing and hip function of the osteoporotic femo- ral neck fracture after operation. Method ：64 patients of femoral neck fracture postoperative were randomly divided into two groups ：con- trol group （ conventional therapy, n = 32）, and experimental group （ conventional therapy and ZSGK, n = 32）. The patients were followed up for 6 months to 12 months,the bone mineral density （BMD） was determined and the hip function evaluated on the 1st month,3rd month and 6th month. Results：The levels of BMD and Harris were significantly higher than preoperative on the 3rd month and 6th month（ P 〈 0.05 or P 〈 0.01 ）, and were respectively improved than that in control group. （P 〈 0.05 ）. Conclusion：ZSGK can signifi- cantly increase the BMD, advance fracture healing and promote hip function in patients of femoral neck fracture.

关 键 词：股骨颈骨折 骨质疏松 滋肾骨康丸 骨折愈合 髋关节功能 骨密度 HARRIS评分 

分 类 号：R274.12[医药卫生—中医骨伤科学]