老年髋部骨折术后早期中医证候调查  

An investigation on TCM syndrome in the early stage of elderly hip fracture

作　　者：孟宪凯[1] 魏杰[2] 

机构地区：[1]山西中医学院,山西太原030024 [2]山西省人民医院,山西太原030012

出　　处：《中医临床研究》2016年第31期14-16,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的：通过临床实际诊断资料，尝试了解老年患者髋部骨折术后早期中医证候的分布规律，以供临床治疗参考，为进一步了解骨科病人术后中医证候提供依据。方法：选取2014年9月-2016年5月在山西省人民医院骨科住院的101例髋部骨折患者，包括股骨颈骨折患者52例和股骨粗隆间骨折患者49例。男34例，女67例，年龄60~89岁，平均年龄（73.47±13.47）岁。对所有病人的证候信息进行采集归纳，建立数据库，使用统计软件将数据进行聚类分析及相关统计，并咨询专家以总结老年髋部骨折术后早期中医辨证规律。结果：老年髋部骨折术后患者中医证候分布存在一定规律，气虚血瘀证共42例，积瘀化热证共36例，气滞血瘀证共23例，统计学检验表明证候分布与年龄无明显关系，男性患者证候分布无明显差异，女性患者证候分布有较显著差异，男女患者之间差异有统计学意义，主要为气虚血瘀证，其次为积瘀化热证，气滞血瘀证最少。结论：老年髋部骨折术后患者早期中医证候主要表现为气虚血瘀证、积瘀化热证、气滞血瘀证，与目前临床上其他年龄段骨伤科病人的中医药三期辨证有所区别。故针对老年骨折术后患者应仔细观察证候，注意虚证表现，正确辨证施治。Objective: According to the clinical diagnosis, the TCM syndrome in the early stage of elderly hip fracture wassummarized, to provide the reference for TCM syndrome. Methods: 101 cases include 52 patients with femoral neck fracture and 49 patientswith intertrochanteric fractures. And 34 cases were male, 67 cases were female; from 60 to 89 years old, mean age was (73.47±13.47)years old. All the symptoms were collected and summarized. The database was set up and the data were collected by clustering analysisand related statistics; the rules of TCM syndrome differentiation in the early stage of elderly hip fracture were summarized accroding toconsult the experts. Results: TCM syndrome in the early stage of elderly hip fracture shows a certain regularity. 42 cases were the QixuXueyu syndrome; 36 cases were the Jiyu Hua, re syndrome; 23 cases were the Qizhi Xueyu syndrome. The syndromes was no significantrelationship with age. Male patients, syndrome distribution shows no difference; female patients, has the significant difference. Thedifference was statistically significant between men and women, in the Qixu Xueyu syndrome, the Jiyu Hua, re syndrome, the Qizhi Xueyusyndrome successive. Conclusion: The most common TCM syndromes of elderly hip fracture are mainly the Qixu Xueyu syndrome, theJiyu Huare syndrome, the Qizhi Xueyu syndrome; and those syndrome are different with the other ages. So elderly patients should becarefully observed, and paid attention to the performance deficiency syndrome and differentiation.

关 键 词：老年 髋部骨折 聚类分析 中医证型 

分 类 号：R274.1[医药卫生—中医骨伤科学]