老年股骨粗隆间骨折行强骨胶囊联合运动疗法的效果观察  

Functional outcome of perioperative strong bone capsule combined with exercise therapy for femoral intertrochanteric fracture in the elderly

作　　者：倪晓辉 张志勇 陈爱华 刘晓庆 夏亚卿 蔡百盛 乔全根 王海港 高军 沈守卫 NI Xiaohui;ZHANG Zhiyong;CHEN Aihua;LIU Xiaoqing;XIA Yaqing;CAI Baisheng;QIAO Quangen;WANG Haigang;GAO Jun;SHEN Shouwei(Department of Orthopedics,Yancheng City Dafeng People′s Hospital,Jiangsu 224100;Department of Surgery,Tongchuan City Yijun Traditional Chinese′s Hospitale)

机构地区：[1]盐城市大丰人民医院骨科,江苏224100 [2]铜川市宜君县中医医院外科

出　　处：《南通大学学报（医学版）》2024年第1期37-40,共4页Journal of Nantong University(Medical sciences)

基　　金：盐城市科技计划项目(YK2019090)。

摘　　要：目的:探讨老年骨质疏松性股骨粗隆间骨折围术期口服强骨胶囊联合渐进式运动疗法的早期临床疗效,及其在应用过程中产生的并发症的防治。方法:对2019年1月—2021年12月收治的56例老年骨质疏松性股骨粗隆间骨折患者行手术治疗的早期临床疗效进行回顾性分析,其中单纯手术24例为对照组,围术期口服强骨胶囊并实施渐进式运动疗法32例为观察组。结果:56例患者获随访(7.5±1.1)个月。观察组患者术后1个月开始,疼痛视觉模拟量表评分、髋关节Harris评分和Barthel评分均优于对照组(均P<0.05),但随着时间的延长,评分差异逐渐缩小,基本维持稳定,末次随访差异无统计学意义(P>0.05);观察组患者下地完全负重时间短于对照组(P<0.05);两组患者骨折愈合时间差异无统计学意义(P>0.05),颈干角均有轻度丢失,但组间差异无统计学意义(P>0.05),末次随访观察组骨密度优于对照组(P<0.05)。结论:老年骨质疏松性骨折在接受手术治疗的同时予口服强骨胶囊并配合渐进式运动疗法能显著提高早期临床疗效,增强骨密度,改善生活质量。Objective:To investigate the early functional outcome of perioperative oral strong bone capsule combined progressive exercise therapy for osteoporotic femoral intertrochanteric fracture in the elderly.Methods:From January 2019 to December 2021,56 elderly patients with osteoporotic femoral intertrochanteric fracture who received surgery were retrospectively analyzed.Among the patients,32 ones treated by perioperative oral strong bone capsules combined progressive exercise therapy additionally,and the other 24 patients received operation simply,as control group.The pain visual analogue scale,modified Barthel score,bone density,fracture healing time,postoperative weight loading time and the Harris standard of the hip joint of two groups were analyzed and compared.Results:All patients were followed up prospectively for(7.5±1.1)months.From 1 month after surgery,the visual analogue scale,hip Harris score and Barthel score of the treatment group were improved significantly than the control group(all P<0.05),but the difference gradually narrowed and vanished at the last follow-up(P>0.05).Although the complete weight bearing time of treatment group was shorter than that of the control group(P<0.05),there is no difference in fracture healing time(P>0.05).Little loss of femoral neck angle existed in both groups,but had no significant difference(P>0.05).Bone density of treatment group was significantly improved than control group(P<0.05).Conclusion:Osteoporotic fractures in the elderly,when treated with oral strong bone capsules and combined with progressive exercise therapy,can significantly improve the early clinical efficacy,enhance bone mineral density,and improve the quality of life.

关 键 词：骨质疏松 股骨粗隆间骨折 强骨胶囊 运动疗法 老年人 

分 类 号：R683.42[医药卫生—骨科学]