改良术式结合壮筋续骨方对中青年股骨颈骨折后股骨头坏死及骨塌陷预防作用

Preventive Effect of Modified Operation and Zhuangji Xugu Formula on Femoral Head Necrosis and Collapse after Femoral Neck Fracture in the Young and Middle-Aged Patients

目的研究壮筋续骨方对改良术式治疗中青年股骨颈骨折后股骨头坏死的预防效果。方法将2012年1月至2014年12月治疗的中青年股骨颈骨折患者80例采用随机数字表法分为两组,每组40例,均实施空心螺钉结合同种异体腓骨内固定术治疗,术后对照组常规治疗,中医组加壮筋续骨方治疗,持续治疗6个月,观察治疗效果及股骨头坏死发生情况。结果中医组骨折愈合时间短于对照组(P<0.05),中医组股骨头坏死率低于对照组(P<0.05),但两组骨折不愈合率、骨塌陷发生率比较差异无统计学意义(P>0.05);中医组髋关节Harris评分中疼痛、功能、活动度评分高于对照组(P<0.05)。结论改良术式结合壮筋续骨方治疗中青年股骨颈骨折,可促进骨折愈合,减少股骨头坏死及骨塌陷发生率。

Objective To study the preventive effect of the modified operation and zhuangji xugu formula on femoral head necrosis after femoral neck fracture in the young and middle-aged patients. Methods From January 2012 to December 2014,80 cases of femoral neck fracture were divided into two groups according to random number table,40 cases in each one. The hollow screw combined with allograft fibula fixation was done in the two groups. After operation,the conventional treatment was given in the control group and zhuangjin xugu formula was used additionally in the Chinese medicine group. The treatment lasted 6 months.The effects and the occurrence of femoral head necrosis were observed. Results In the Chinese medicine group,the healing duration of fracture was shorter than that in the control group（ P〈0. 05）,the rate of femoral head necrosis was lower than that in the control group（ P〈0. 05）. The differences in the healing rate of fracture and collapse incidence were not significant between the two groups（ P〉0. 05）. The scores of pain,function and range of movement in hip Harris scale were higher in the Chinese medicine group as compared with those in the control group（ P〈0. 05）. Conclusion The modified operation combined with zhuangjin xugu formula promotes bone healing after fracture and reduces the incidence of femoral head necrosis and collapse in the young and middle-aged patients of femoral neck fracture.