中西医结合治疗老年性股骨粗隆间骨折90例疗效分析

A clinical analysis of treating 90 cases of intertrochanteric fractures in elderly in the integrative medicine

目的：探讨中西医结合治疗老年性股骨粗隆间骨折的临床疗效。方法：选取2009年4月-2012年11月我院收治的符合入选标准的中老年股骨颈骨折患者90例，将患者随机分为观察组和对照组，分别行动力性髋螺钉（DHS）配合中药治疗（观察组，n＝46）和单纯性动力性髋螺钉（DHS）（对照组，n＝44）治疗，比较分析两组患者的疗效及临床骨折愈合时间。结果：观察组患者的优、良、可患者所占的比例和对照组相比差异具有统计学意义（P〈0.05），观察组的总有效率（89.13%）要远远高于对照组（72.72%），其差异比较具有统计学意义（P〈0.05）。90例患者中85例获得6-24个月的随访调查，平均14.8个月，患者X线显示骨折愈合时间，观察组为（11.8＆#177;2.5）周，对照组为（18.5±3.2）周，两组的差异比较具有统计学意义（P〈0.05）。结论：采用中西医结合的方法治疗老年性股骨粗隆间骨折安全可靠、疗效肯定，缩短了患者临床骨折愈合时间，减少了术后并发症，是老年性股骨粗隆间骨折首选的治疗方法，有一定的临床借鉴意义。

Objective： To observe the clinical efficacy of the integrative medicine on treating intertrochanteric fractures in elderly. Methods： 90 patients were randomly divided into two groups, the control group was give DHS, another was given TCM medicine more. Results： The total efficiency in observation was 89.13%, obviously better than 72.72% in control, the difference was statistically significant （P〈0.05）. The fracture healing time in observation group was （11.8±2.5）W, it was shorter, the difference was statistically significant （P〈0.05）. Conclusion： The integrative medicine for intertrochanteric fractures in elderly was safe and reliable, can shorter the fracture healing time, reduce postoperative complications, is worthy of clinical promotion.