中西医结合治疗股骨颈骨折临床疗效观察

Observation of clinical efficacy of integrated Chinese and Western Medicines in treatment of femoral neck fractures

目的观察对股骨颈骨折患者采取闭合复位经皮加压螺钉内固定术联合中药治疗的临床疗效。方法选取2015年1月~2016年1月于我院住院治疗的股骨颈骨折患者60例,采用随机数字表法随机分为两组,每组30例,两组均采取采取闭合复位经皮加压螺钉内固定术治疗,联合组同时联合中药进行治疗,比较两组患者的临床疗效、治疗后的VAS评分、住院时间及骨折愈合时间。结果治疗后,联合组患者的治疗优良率达96.7%,明显高于对照组的优良率76.7%,两组临床疗效比较,差异存在显著性(P<0.05),治疗后,两组患者VAS评分及住院时间、骨折愈合时间比较,差异均有显著性(P<0.05),联合组患者的VAS评分显著低于对照组,且联合组患者的住院时间及骨折愈合时间显著短于对照组。结论对股骨颈骨折患者采取闭合复位经皮加压螺钉内固定术联合中药治疗可以显著提高临床疗效,减轻患者的疼痛,缩短住院时间及促进骨折早期愈合,值得广泛推广和应用。

Objective To observe the clinical effect of closed reduction and percutaneous compression.screw fixation combined with traditional Chinese medicine in the patients with femoral neck fractures. Methods 60 patients with femoral neck fractures who were treated! in our hospital from Jinuary 2015 to January 2016 were selected. They were randomly divided into two groups according to the random number table, with 30 cases in each group. Both groups were treated with closed reduction and percutaneous compression screw fixation. The combination group were given com- bined traditional Chinese medicine for treatment. The clinical efficacy, and VAS score after the treatment, length of stay and fracture healing time were compared between the two groups. Results After the treatment, the total effective rate in the combination group was 96.7%, which was significantly higher than that of 76.7% in the control group. There was significant difference in the clinical efficacy between the two groups.（P〈O.05）. After the treatment, the VAS score, length of stay and fracture healing time in the two groups were significantly different（P〈0.05）. The VAS score in the combination group was significantly lower than that in the control group, and the length of stay and fracture healing time in the combination group were significantly shorter than those in the control group. Conclusion The application of closed reduction and pereutaneous compression screw fixation combined with traditional Chinese medicine in the pa- tients with femoral neck fracture can significantly ：improve shorten the length of stay and promote the early healing of application. the clinical curative effect, reduce the pain of the patients, fractures, which is worthy of widespread popularization and application.