分析中药配合手术治疗老年股骨粗隆间骨折疗效

Analysis of the Curative Effect of Traditional Chinese Medicine Combined With Surgery in the Treatment of Senile Intertrochanteric Fracture

目的 分析研讨中药配合手术治疗老年股骨粗隆间骨折的临床疗效。方法 此研究为前瞻性研究,病例入选方式为随机抽签法,从我院2014年5月~2016年2月收治的老年股骨粗隆间骨折疾病者中,抽取80例纳入到讨论中,将其80例患者按随机数字法分为对照组（n=40,单纯性手术治疗）和研究组（n=40,中药＋手术治疗）。治疗后,对比两组患者治疗状况,并分析得出有效结论 。结果 研究组髋关节Harris评分优良率为95.0%,优于对照组（77.50%）,组间数据对比,差异有统计学意义（P〈0.05）。研究组并发症总发生率为5%,低于对照组（25%）,组间数据对比,差异有统计学意义（P〈0.05）。研究组骨折愈合时间为（13.2±1.6）周,短于对照组（16.4±1.7）周,组间数据对比,差异有统计学意义（P〈0.05）。结论 临床治疗老年股骨粗隆间骨折疾病可考虑把手术方式和中药治疗方式,进行结合使用,骨折愈合时间得到缩短,降低医疗费用,为患者减轻经济负担,且并发症发生率有降低,进而改善其生活质量,此为临床老年股骨粗隆间骨折疾病的良好治疗方式之一,可应用性较高。

Objective To analyze and study the clinical effects of traditional Chinese medicine combined with surgery in treatment of elderly patients with intertrochanteric fractures. Methods 80 cases of elderly patients with intertrochanteric fractures and who accepted treatments in our hospital from May 2014 to February 2016 were included in the discussion, which the study was a prospective study, and the method of random selection. 80 cases of patients were randomly divided into control group of 40 cases （ simple operation ） and 40 cases in the study group （ traditional Chinese medicine ＋ surgical treatment ） . After treatment, the treatment status of two groups of patients were compared, and the effective conclusions were analyzed. Results The excellent and good rate of Harris score in the study group was 95.0%, which was higher than that in the control group of 77.50%, and the data was statistically significant （ P 〈 0.05 ） .The incidence of complications in the study group was 5%, which was lower than that in the control group of 25%, and the data were statistically significant （ P 〈 0.05） . The fracture healing time in the study group of （ 13.2 ± 1.6 ） weeks was lower than that in the control g＇roup of （ 16.4 ± 1.7 ） weeks, and the difference was statistically sigmificant （P 〈 0.05 ） . Conclusion Clinical treatment of intertrochanteric fractures in elderly patients may consider the use of surgical methods combined with traditional Chinese medicine treatment, which can shorten the healing time of fracture, reduce medical costs, reduce the economic burden for patients, and the incidence of complications is reduced, so as to improve the quality of life, thus it is one of the best treatment for intertrochanteric fractures in elderly patients, and the application is higher.