股骨近端防旋髓内钉联合中药治疗高龄股骨粗隆骨折临床研究  

Clinical Research on the Senile Femoral Trochanter Fracture Treated with PFNA Combined with Chinese Medicine Three-Phase Syndrome Differentiation and Treatment

作　　者：张建洛 张飞[2] 

机构地区：[1]陕西核工业二一五医院,陕西咸阳712000 [2]河南中医药大学,河南郑州450046

出　　处：《河南中医》2016年第8期1399-1401,共3页Henan Traditional Chinese Medicine

摘　　要：目的:观察股骨近端防旋髓内钉联合中药治疗高龄(≥80岁)股骨粗隆骨折的临床疗效。方法:将87例高龄股骨粗隆骨折患者随机分为两组,对照组43例行股骨近端防旋髓内钉(PFNA)手术治疗,常规术后处理和康复锻炼,观察组44例在对照组治疗基础上于术后1 d、术后2周、术后4周给予中药辨证治疗,比较两组患者临床疗效。结果:观察组的患肢消肿时间、骨折愈合时间、完全负重下床活动时间均优于对照组(P<0.05);观察组治疗后6个月的Harris评分、HSS评分均优于对照组(P<0.05)。结论:PFNA联合中药治疗高龄股骨粗隆骨折临床效果确切,能够加速骨折愈合,缩短康复周期,改善髋关节功能。Objective： To observe the clinical effects of PFNA combined with Chinese medicine three-phase syndrome differentiation and treatment on senile（ ≥80 years old） femoral trochanter fracture. Methods： Totally 87 patients with senile femoral trochanter fracture were randomized into control group（ 43 cases） conducted with PFNA and regular postoperative treatment and rehabilitation exercises and observation group（ 44 cases） were additionally given TCM syndrome differentiation and treatment after the 1 d,2 weeks and 4 weeks after the operation; the clinical effects of the two groups were compared. Results： The swelling relief time,fracture healing time and time for off-bed activities with complete bearing in the observation group were all better than these in control group（ P〈0. 05）. The Harris score and HSS after 6 months of treatment in the observation group were all better than these in control group（ P〈0. 05）. Conclusion： PFNA combined with Chinese medicine three-phase syndrome differentiation and treatment has definite efficacy on senile femoral trochanter fracture,which can accelerate the fracture healing,shorten the rehabilitation cycle and improve the function of the hip bone.

关 键 词：股骨近端防旋髓内钉 股骨粗隆骨折 活血止痛汤 续骨活血汤 生血补髓汤 

分 类 号：R274.981.8[医药卫生—中西医结合]