仙灵骨葆联合光子治疗仪治疗股骨粗隆间骨折的疗效观察与护理

Clinical observation of Xianlinggubao Capsule combined photon therapeutic apparatus and nursing in the treatment of intertrochanteric fracture

目的:观察仙灵骨葆联合光子治疗仪护理治疗股骨粗隆间骨折的临床效果。方法:将股骨粗隆间骨折手术患者64例随机分成对照组和治疗组,每组32例。对照组采用抗旋转股骨近端髓内钉(PFNA)手术治疗和术后光子治疗;治疗组在此基础上加用仙灵骨葆胶囊。两组采取相同的护理措施。采取术前常规探访和术后定期随访,比较两组下地行走时间、疼痛缓解时间、骨折愈合时间和骨痂生长情况及髋关节功能Harris评分等指标。结果:治疗组患者下地行走时间、疼痛缓解时间及骨折愈合时间分别为(52.27±6.41)d、(45.47±6.39)d及(4.01±1.13)个月,均短于对照组(t=14.891,P<0.01;t=16.243,P<0.01;t=4.613,P<0.01);治疗组患者骨痂生长为Ⅳ级5例(15.63%),明显高于对照组3.13%(χ2=3.857,P<0.05);治疗组患者髋关节功能优良率为90.63%,明显高于对照组75.00%(χ2=4.569,P<0.05)。结论:仙灵骨葆联合光子治疗仪及护理能缓解临床症状促使骨折愈合,促进患者的髋关节功能恢复,值得临床推广。

To observe the Xianling Gu Bao united photon therapeutic nursing clinical effect for the treatment of intertrochanteric fracture. Methods： 64 patients with intertrochanteric fracture surgery randomly divided into control group and treatment group,32 cases in each group. The control group used rotating proximal femoral intramedullary nailing（ PFNA） surgical treatment and postoperative photon therapy; The treatment group on the basis of this combined with a Xianling Gu Bao capsule. Two groups of the same nursing measures. Routine preoperative visit and postoperative follow-up regularly,compared two groups walk time,pain relief time,fracture healing time and the callus growth and function Harris hip score index. Results： The treatment group patients walk time,pain relief time and fracture healing time,respectively（ 52. 27 ＋ 6. 41） d,d（ 45. 47- 6. 39） and（ 4. 01 ＋ 1. 13） months,are shorter than the control group（ t = 14. 891,P 0. 01,t = 0. 01,P 〈0. 01,t = 0. 01,P 〈0. 01）; Treatment group patients with callus growth for Ⅳ level 5 cases（ 15. 63%）,significantly higher than the control group 3. 13%（ chi-square = 3. 857,P 〈0. 05）;The hip joint function in patients with treatment group was 90. 63%,significantly higher than the control group75. 00%（ chi-square = 4. 569,P〈 0. 05）. Conclusion： Xianlinggubao capsule united photon therapeutic apparatus and nursing can relieve the clinical symptoms of fracture healing,promote the function recovery of patients with hip,be worthy of clinical promotion.