接骨合剂用治老年骨质疏松骨折疗效观察

Jiegu mixture for fractures in patients with senile osteoporosis

目的对老年骨质疏松骨折的中后期应用接骨合剂内服治疗的疗效观察。方法对38例老年骨质疏松骨折作复位固定后,给予接骨合剂内服,35～50天追踪观察疗效进行回顾性分析。结果经两至三个月的临床观察:38例均提示:骨折端有不同程度的骨痂生长,其中外固定26例,骨痂明显,周围骨密度增强,其余内固定除1例不愿取髓内针外,11例均在一年内取出固定,观察均达骨性愈合,预后良好。结论接骨合剂根据祖国医学"肾主骨"原理,有补肾健脾,接骨续损之功效,能改善骨质疏松,促进老年骨折愈合。

Objective To investigate the effectiveness of Jiegu mixture （ Jiegu means reunion of the bones） for fracture in its middle - late stages in patients with senile osteoporosis. Methods Thirty - eight patients with senile osteoporosis complicated by fractures were enrolled in the study. After reduction and fixation of the fractured bones, patients received Jiegu mixture orally and were followed up for 2-3months. Results Varying amounts of bony callus developed at the ends of fractured bones in all the 38 patients. External fixation was performed in 26 patients, a large quantity of bony callus with significantly increased bone density nearby was found in these patients. Internal fixation was performed in 12 patients, medullary pins were withdrawn in 11 patients within 1 year, which was refused by 1 patient. Bone union was achieved and outcome was good in all patients. Conclusion Based on the principle of kidney dominating bone, Jiegu mixture has the function of reinforcing kidney to strengthen spleen and promotiug reunion of tendon and fractured bone. It can alleviate osteoporosis and promote the reunion of fractured bone in the elderly.