股骨粗隆间骨折老年患者实施中西医结合治疗对髋关节功能改善的影响

Effect of Integrated Traditional Chinese and Western Medicine on Improvement of Hip Function in Elderly Patients with Intertrochanteric Femoral Fractures

目的：探讨对股骨粗隆间骨折老年患者实施中西医结合治疗对髋关节功能改善的影响。方法：在医院骨科完成手术治疗的股骨粗隆间骨折老年患者100例,按照随机数字的方法分为对照组和观察组,每个组50例,对照组患者进行常规的治疗康复,观察组患者在对照组的干预方法上使用中医综合干预的方案,对治疗的效果进行对比。结果：对照组与观察组患者在手术后不同时间的Harris髋关节评分中疼痛,关节功能,关节活动度和畸形四个维度上的得分比较,采用重复测量数据的方差分析,结果：（1）不同时间点间的得分有差别（P〈0.05）,q检验结果显示任意两个时间点之间的数据差异均具有统计学意义；②对照组与观察组的得分有差别（P〈0．05），观察组显著得分高于对照组；③对照组与观察组的得分与时间具有交互作用（P〈0．05），对照组的治疗优良率为70．00％，观察组的治疗优良率为90．00％，两组数据差异具有统计学意义（x2=6．250，P〈0．05），观察组的治疗有效率显著高于对照组的，从两组的治疗效果看，数据差异也具有统计学意义（z=3．886，P〈0．05），观察组的治疗效果显著优于对照组，在两纽患者的各项不良反应情况中，只有尿路感染的数据差异不具有统计学意义（P〉0．05），其余项目数据差异均具有统计学意义（P〈0．05），均为观察组低于对照组，在骨折愈合时间上，观察组显著短于对照组，数据差异具有统计学意义（t=11．682，P〈0．05）。结论：利用中西医结合的方法对股骨粗隆间骨折的老年患者进行治疗，可以改善治疗的效果，缩短患者的骨折愈合时间，降低骨折后并发症的发生概率，值得在临床范围内进行推广。

Objective： To explore the effect of integrated traditional Chinese and Western medicine on hip function improvement in elderly patients with intertrochanteric fractures. Methods： A hundred cases of elderly patients with femoral intertrochanteric fractures who underwent surgical treatment in our hospital were divided into control group and observation group according to the random number method,50 in each group. The control group were given conventional treatment and rehabilitation and the observation group on the basis of the control group used traditional Chinese medicine comprehensive intervention program. The effect of treatment was compared. Result： The control group and the observation group＇s postoperative pain,the Harris hip scores at different time points were analyzed by the analysis of variance. Results： The repeated measurement data between different time points was significant（ P〈 0. 05）. The q test showed that differences between any two time points were statistically significant. The control group and observation group＇s score difference was significant（ P〈 0. 05）. The observation group＇s was significantly higher than that of control group. The control group and the observation group＇s score and time of interaction were significant（ P〈 0. 05）. The control group＇s excellent rate was70% and the observation group＇s 90%. There were statistically significant differences between the two groups（ χ2=6. 250,P〈 0. 05）. The effective rate of the observation group was significantly higher than the control group＇s and the data difference was statistically significant（ z = 3. 886,P〈 0. 05）. The treatment effect of the observation group was significantly better than that of the control group. Among the adverse reactions of the two groups,only urinary tract infection difference was not statistically significant difference（ P〉 0. 05）. The rest of the project data was statistically significant（ P 〈0. 05）. Compared with the control group,the observation group＇s time of fracture healing was significantly shorter than that of the control group,with statistically significant difference（ t = 11. 682,P〈 0. 05）. Conclusion： The use of integrated traditional Chinese and Western medicine in the treatment of elderly patients with intertrochanteric fractures can improve the effect of treatment,shorten the time of fracture healing and reduce the risk of postoperative complications. It is worth to be promoted in the clinical scope.