老年股骨颈骨折切开复位内固定术后应用补肾通络汤临床观察  

作　　者：李洋 

机构地区：[1]河南省新乡同盟医院骨科,河南获嘉453800

出　　处：《实用中医药杂志》2023年第7期1271-1273,共3页Journal of Practical Traditional Chinese Medicine

摘　　要：目的:观察老年股骨颈骨折切开复位内固定术后用补肾通络汤的效果。方法:98例以随机数字表法分为观察组和对照组各49例,两组术后康复训练同时接受西医对症治疗,观察组同时用补肾通络汤。结果:总有效率观察组高于对照组(P<0.05)。观察组骨钙素(BGP)、碱性磷酸酶(ALP)、骨碱性磷酸酶(BALP)表达高于对照组(P<0.05)。观察组Harris评分高于对照组、视觉模拟评分(VAS)低于对照组(P<0.05)。两组并发症发生率无统计学意义(P>0.05)。结论:老年股骨颈骨折切开复位内固定术后用补肾通络汤能够提高疗效。Objective:To observe the effect of Tonifying Kidney and Dredging Collaterals Decoction after open reduction and internal fixation of femoral neck fracture in the elderly.Methods:Ninety-eight cases were randomly divided into the observation group and the control group,49 cases in each group.Both groups received postoperative rehabilitation training and symptomatic treatment of Western medicine,and the observation group were treated with Tonifying Kidney and Dredging Collaterals Decoction at the same time.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).The expression of osteocalcin(BGP),alkaline phosphatase(ALP)and bone alkaline phosphatase(BALP)in the observation group was higher than that in the control group(P<0.05).The Harris score of the observation group was higher than that of the control group,and the visual analogue score(VAS)was lower than that of the control group(P<0.05).There was no significant difference in the incidence of complications between the two groups(P<0.05).Conclusion:Tonifying Kidney and Dredging Collaterals Decoction can improve the curative effect after open reduction and internal fixation of femoral neck fracture in the elderly.

关 键 词：股骨骨折 切开复位内固定术 补肾通络汤 

分 类 号：R274.128.342[医药卫生—中医骨伤科学]