生龙接骨胶囊联合关节减压治疗股骨颈骨折的临床研究  

Clinical Study of Shenglong Jiegu Capsule Combined with Joint Decompression in Treatment of Femoral Neck Fracture

作　　者：骆松[1] 余慧 马泽仁[1] 徐小生[1] 王振宇 龚良金[1] LUO Song;YU Hui;MA Zeren;XU Xiaosheng;WANG Zhenyu;GONG Liangjin(The Orthopedics Department,Hongdu Hospital of Traditional Chinese Medicine,Nanchang 330006,China;Department of Orthopedics,the First Affiliated Hospital of Nanchang University,Nanchang 330209,China)

机构地区：[1]南昌市洪都中医院骨伤科,南昌330006 [2]南昌大学第一附属医院骨科,南昌330209

出　　处：《江西中医药大学学报》2024年第4期28-31,共4页Journal of Jiangxi University of Chinese Medicine

基　　金：江西省中医药管理局科技计划项目(2021A201)。

摘　　要：目的:研究生龙接骨胶囊联合关节减压空心螺钉治疗股骨颈骨折的临床疗效。方法:选取南昌市洪都中医院收治的85例股骨颈骨折患者作为研究对象,按照随机数字表法分为对照组(28例)、减压组(28例)、观察组(29例)。对照组行闭合复位治疗,减压组在对照组基础上联合关节减压治疗,观察组行减压治疗后给予口服生龙接骨胶囊。以FernandezEsteve骨痂评分评定3组术后3、6个月骨折愈合情况,比较3组术后6个月、1年髋关节Harris评分、下地时间及并发症发生情况等。结果:术后3、6个月观察组Fernandez-Esteve骨痂评分高于其他2组(P<0.05);术后6个月观察组和减压组Harris评分高于对照组(P<0.05);术后1年观察组Harris评分高于其他2组(P<0.05);完全下地时间观察组早于其他2组(P<0.05)。结论:股骨颈骨折行早期髋关节减压空心螺钉治疗有利于功能恢复,联合生龙接骨胶囊可促进骨折愈合,缩短治疗过程并提高疗效。Objective:To study the clinical effect of Shenglong Jiegu Capsule combined with joint decompression and hollow screws in the treatment of femoral neck fracture.Methods:Eighty-five cases with femoral neck fracture who were hospitalized in Hongdu hospital of Traditional Chinese Medicine,in accordance with the random number table,were divided into control group(28 cases),decompression group(28 cases)and observation group(29 cases).Control group cases were treated by closed reduction and fixed by 3 screws.Decompression group cases were treated same as the control group,but combined with hip joint decompression by puncture.Observation group cases were treated same as the decompression group,but took Shenglong Jiegu Capsule after the operation.The Fernandez-Esteve callus score was used to assess fracture healing at 3 and 6 months after surgery.The Harris hip score at 6 months and 1 year after surgery was recorded at follow-up time.Time of walk and complications were recorded at follow-up.Results:The Fernandez-Esteve callus score at 3 and 6 months in the observation group was higher than in others(P<0.05).The Harris hip scores at 6 months in the observation group and the decompression group were significantly higher than in the control group(P<0.05),the Harris hip score at 1 year was significantly higher in the observation group than in others(P<0.05).Time of walk completely of patients in the observation group was earlier than in the other two groups(P<0.05).Conclusion:Early hip decompression with internal fixation of femoral neck fracture is beneficial to functional recovery,and combined using of Shenglong Jiegu Capsule can promote fracture healing and shorten the therapy time,thus improving the therapeutic effect.

关 键 词：股骨颈骨折 内固定 关节减压 生龙接骨胶囊 

分 类 号：R274.12[医药卫生—中医骨伤科学]