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桃红四物汤联合五苓散加减在老年股骨粗隆间骨折患者围术期的应用

Application of modified Taohong Siwu Decoction and Wuling Powder in perioperation in elderly patients with femoral intertrochanteric fracture

    摘要
  • 摘要:
      目的  观察桃红四物汤联合五苓散加减方在老年股骨粗隆间骨折患者行内固定术后应用效果。
      方法  选取老年股骨粗隆间骨折患者60例，根据随机数字表法分为治疗组和对照组，每组30例。对照组给予股骨近端抗旋髓内钉（PFNA）内固定术及术后常规治疗，治疗组除给予上述治疗外，术后次日口服桃红四物汤联合五苓散加减方，疗程为2周。术后第1、14天，采用视觉模拟评分法（VAS）评价疼痛情况，记录大腿围、Merle d'Aubigne-Postel髋关节评分、骨折临床证候评分。
      结果  术后第14天，2组VAS评分低于术后第1天，大腿围短于术后第1天，且治疗组VAS评分低于对照组，大腿围短于对照组，差异有统计学意义（P < 0.05）。术后第14天，2组Merle d'Aubigne-Postel评分均高于术后第1天，骨折临床证候评分低于术后第1天，且治疗组Merle d'Aubigne-Postel评分高于对照组，骨折临床证候评分低于对照组，差异有统计学意义（P < 0.05）。术后第14天，2组骨折临床证候疗效比较，治疗组总有效率高于对照组，差异有统计学意义（P < 0.05）。
      结论  老年股骨粗隆间骨折患者行PFNA内固定术后口服桃红四物汤联合五苓散加减方可有效减轻疼痛、肿胀程度，改善髋关节功能，加速术后康复。

     

    Abstract:
      Objective  To observe the clinical effects of modified Taohong Siwu Decoction and modified Wuling Powder in the elderly patients with intertrochanteric fractures after internal fixation.
      Methods  Sixty elderly patients with intertrochanteric fracture of femur were selected and divided into treatment group and control group according to random number table method, with 30 cases in each group. The control group was given proximal femoral nail antirotation (PFNA) internal fixation and routine postoperative treatment; in addition to the above treatments, the treatment group was given modified Taohong Siwu Decoction and Wuling Powder the next day after surgery, and the treatment was lasted for 2 weeks. On the 1st and 14th day after surgery, Visual Analogue Scale (VAS) score, thigh circumference measurement(TCM), Merle d'Aubigne-Postel hip function score, and fracture clinical syndrome score were performed.
      Results  On the 14th postoperative day, VAS scores of the two groups were lower than those of the 1st postoperative day, and thigh circumference was shorter than that of the 1st postoperative day (P < 0.05). VAS score of the treatment group was lower than that of the control group, and thigh circumference was shorter than that of the control group (P < 0.05). On the 14th postoperative day, Merle d'Aubigne-Postel scores of both groups were higher than those of the 1st postoperative day, and the clinical syndrome scores of fracture were lower than that of the first postoperative day, and the Merle d'Aubigne-Postel score of the treatment group was higher than that of the control group, and the clinical syndrome score of fracture was lower than that of the control group (P < 0.05). On the 14th day after operation, the total effective rate of the treatment group was higher than that of the control group (P < 0.05).
      Conclusion  After PFNA internal fixation in elderly patients with intertrochanteric fractures, oral administration of modified Taohong Siwu Decoction and modified Wuling Powder can effectively relieve degree of pain and swelling, improve hip joint function, and enhance recovery after surgery.

     

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