骨牵引联合中药三期辨证治疗高龄股骨粗隆间骨折Skeletal traction with three phases syndrome differentiation treatment of TCM treating intertrochanteric fracture of femur in elderly patients
袁智锐;
摘要(Abstract):
目的探讨中药三期辨证结合骨牵引治疗老年股骨粗隆间骨折的临床疗效。方法以股骨粗隆间骨折63例,且均存在严重伴随疾病或早期并发症不适宜手术治疗或拒绝手术治疗的高龄患者作为本次研究对象,随机分为2组。对照组30例,采用体质量的1/10~1/7牵引重量进行单纯骨牵引和功能锻炼治疗,疗程6~8周;研究组33例,在对照组的基础上进行中药3期辨证治疗。初期(1~2周):活血化瘀、消肿止痛,以当归、桃仁、红花等加减;中期(3~6周):活血化瘀、和营生新、濡养筋骨,以当归、赤芍、续断、威灵仙等加减;后期(6周后):坚骨壮筋、益气血、补肝肾,联合补中益气汤。结果研究组的肿胀消退时间、疼痛明显减轻时间以及X线示骨痂出现的时间明显少于对照组,差异有统计学意义(P<0.05);研究组治愈效果明显较对照组好,差异有统计学意义(P<0.05)。结论中药3期辨证结合骨牵引在治疗老年股骨粗隆间骨折方面更加安全有效,能有效地缩短患者的肿胀消退时间、疼痛明显减轻时间以及X线示骨痂出现的时间,提高治愈率。
关键词(KeyWords): 骨牵引;老年人;股骨粗隆间骨折;滋阴清热;舒筋活络;消肿止痛
基金项目(Foundation): 佛山区卫生局计划项目(2013206)
作者(Author): 袁智锐;
Email:
DOI: 10.13463/j.cnki.jlzyy.2017.11.012
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