中药熏蒸配合推拿手法对老年股骨上端骨折患者术后功能恢复和骨愈合的影响

Chinese Herbal Fumigation Combined with Tuina Manipulation Has Effect on the Functional Recovery and Bone Healing of Postoperative Senile Patients with Upper Femoral Fracture

目的:观察中药熏蒸配合推拿手法对老年股骨上端骨折患者术后功能恢复和骨愈合的影响。方法:选取70例股骨上端骨折的老年患者,随机分为治疗组和对照组各35例。对照组实施常规运动康复治疗,治疗组在对照组基础上加用中药熏蒸和推拿手法。随访时采用Harris髋关节功能评分系统评定髋关节功能,测量患肢局部骨质的CT值和骨隧道增宽值。结果:术后6月,2组Harris髋关节功能评分均较术后3月提高,差异均有统计学意义(P <0.05)。术后3月及6月,治疗组Harris髋关节功能评分均高于同期对照组,差异均有统计学意义(P <0.05);治疗组Harris各项细则评分均高于同期对照组,差异均有统计学意义(P <0.05);2组骨隧道增宽值组内及组间比较,差异均无统计学意义(P> 0.05)。2组术后3月及术后6月的股骨骨折断端骨质CT值比较,差异均无统计学意义(P> 0.05)。2组术后6月的股骨骨折断端骨质CT值均大于同组术后3月,差异均有统计学意义(P <0.05)。结论:中药熏蒸配合推拿手法治疗有利于老年股骨上端骨折患者术后功能恢复,且不会影响骨愈合。

Objective:To observe the effect of Chinese herbal fumigation combined with tuina manipulation on the functional recovery and bone healing of postoperative senile patients with upper femoral fracture. Methods:Selected 70 cases of senile patients with upper femoral fracture,and divided them into the treatment group and the control group randomly,35 cases in each group. The control group received the routine therapy of exercise rehabilitation,while the treatment group additionally received Chinese herbal fumigation combined with tuina manipulation. During follow-ups,evaluated hip joint function via Harris hip function scoring system, and measured values of CT and bone tunnel widening in the local bone of affected limbs. Results:After treatment for 6 months,scores of Harris hip function scoring system in both groups were higher than those after treatment for 3 months,differences being significant(P < 0.05). After treatment for 3 and 6 months,scores of Harris hip function scoring system in the treatment group were all higher than those in the control group during the same period,differences being significant(P<0.05);scores of each item in Harris hip function scoring system of the treatment group were higher than those in the control group during the same period respectively,differences being significant (P<0.05);there were no significant differences being found in the intragroup and intergroup comparison of bone tunnel widening values in both groups(P>0.05). Comparing the CT values of broken end of fractured femur after treatment for 3 months in both groups and those after treatment for 6 months,there were no significant differences being found(P>0.05).The CT values of broken end of fractured femur after treatment for 6 months in both groups were all higher than those after treatment for 3 months,differences being significant (P<0.05). Conclusion: Chinese herbal fumigation combined with tuina manipulation can promote the functional recovery of postoperative senile patients with upper femoral fracture,which impose no influence on bone healing.