续骨活血汤配合解剖复位与空心螺钉内固定治疗股骨颈骨折的临床研究  

Xugu-Huoxue decoction combined with anatomical reduction and internal fixation with cannulated screws for femoral neck fractures

作　　者：邓志刚 张圣浛[2] 刘星 

机构地区：[1]河北省石家庄第三医院创伤骨科,050000 [2]河北医科大学第三医院老年病科,石家庄050051

出　　处：《国际中医中药杂志》2015年第7期613-616,共4页International Journal of Traditional Chinese Medicine

摘　　要：目的：评价续骨活血汤配合解剖复位与空心螺钉内固定治疗股骨颈骨折患者的临床疗效。方法本研究为随机对照研究。将符合纳入标准的股骨颈骨折患者采用随机数字表法分为2组，对照组46例以解剖复位与空心螺钉内固定治疗，续骨活血汤组45例在对照组治疗基础上加服续骨活血汤治疗。采用彩色多普勒超声诊断仪评价股静脉血流动力学。依据 Harris 髋关节量表评价髋关节功能。结果随访12个月，续骨活血汤组舒张期最低血流速度[（12.0±2.2）cm/s比（9.3±2.0）cm/s，t＝6.128]、血管内径[（0.8±0.3）cm比（0.6±0.1）cm，t＝4.285]及血流量[（1123.4±271.1）ml/min比（901.2±121.1）ml/min，t＝5.067]与对照组比较，差异均有统计学意义（P＜0.01）。续骨活血汤组与对照组优良率分别为86.7%（39/45）、63.0%（29/46），2组比较差异有统计学意义（χ^2＝5.529，P＝0.019）。续骨活血汤组有骨折延迟愈合2例（4.4%）、股骨头坏死2例（4.4%）；对照组骨折延迟愈合3例（6.5%）、股骨头坏死5例（10.9%），2组骨折延迟愈合与股骨头坏死发生率比较，差异均无统计学意义（χ^2值分别为0.000、0.572，P值分别为1.000、0.449）。结论续骨活血汤配合解剖复位配合空心螺钉内固定可改善骨折预后及关节功能。Objective To evaluate the clinical effect ofXugu-Huoxue decoction combined with anatomical reduction and internal fixation with cannulated screws in patients with femoral neck fractures. Methods A total of 89 patients with femoral neck fractures were randomly divided into a control group and a Xugu-Huoxuegroup according to the random number table, with 46 in the control group and 45 in the Xugu-Huoxuegroup. The control group was treated with anatomical reduction and internal fixation with cannulated screws, while theXugu-Huoxuedecoction group was treated withXugu-Huoxuedecoction on the basis of the control group. The hemodynamics of the femoral vein was evaluated with color Doppler sonography. Hip function was rated with Harris hip score.ResultsAfter 12 months of treatment, the minimum diastolic velocity （12.0 ± 2.2 cm/svs.9.3 ± 2.0 cm/s;t=3.675,P〈0.01）, diameter （0.8 ± 0.3 cm vs. 0.6 ± 0.1 cm;t=3.675, P〈0.01） and blood flow （1 123.4 ± 271.1 ml/minvs.901.2 ±121.1 ml/min;t=5.067,P〈0.01） of the femoral vein in theXugu-Huoxuedecoction group were significantly increased than those in the control group. The rates of excellent or good in theXugu-Huoxuedecoction group and the control group was 86.7% （39/45） and 63.0% （29/46）, respectively, with statistically significant difference （χ^2=5.529,P=0.019）. There were 2 patients （4.4%） with delayed fracture healing and 2 patients （4.4%） with femoral head necrosis in theXugu-Huoxuedecoction group, while 3 patients （6.5%） with delayed fracture healing, 5 patients （10.9%） with femoral head necrosis inthe control group, without statically significant difference （χ^2value were 0.000, 0.572,P value were 1.000, 0.449, respectively）.ConclusionXugu-Huoxue decoction combined with anatomical reduction and internal fixation with cannulated screwscan improve the fracture prognosis and the joint function in patients with femoral neck fractures.

关 键 词：股骨颈骨折 骨折固定术 内 骨螺钉 续骨活血汤 

分 类 号：R687.3[医药卫生—骨科学]