乳酸亚铁治疗股骨粗隆间骨折隐性失血的疗效及对关节功能的影响

Efficacy of ferrous lactate in the treatment of femoral intertrochanteric fractures with recessive blood loss and its influence on joint function

目的探讨乳酸亚铁治疗股骨粗隆间骨折隐性失血的疗效及对关节功能的影响。方法将我院收治的股骨粗隆间骨折患者86例随机分为对照组和观察组,各43例。对照组采用单纯股骨近端防旋髓内钉(PFNA)固定治疗,观察组在对照组基础上辅以乳酸亚铁治疗。比较两组视觉模拟评分法(VAS)评分、骨折愈合时间、髋关节功能、血红蛋白水平及并发症发生情况。结果与对照组比较,观察组术后24 h、7 d的VAS评分均更低,骨折愈合时间更短,髋关节功能恢复优良率更高,术后2周血红蛋白水平更高,下肢静脉血栓发生率更低(P<0.05)。结论乳酸亚铁治疗股骨粗隆间骨折隐性失血的疗效确切,可有效促进患者关节功能恢复。

Objective To investigate the efficacy of ferrous lactate in the treatment of femoral intertrochanteric fracturewith recessive blood loss and its influence on joint function. Methods A total of 86 femoral intertrochanteric fracture patientswith recessive blood loss in our hospital were randomly divided into control group and observation group, with 43 cases ineach group. The control group was given proximal femoral nail anti-rotation （PFNA） fixation, while the observation group wastreated with ferrous lactate based on the control group. The visual analogue scale （VAS scores）, fracture healing time, hipjoint function, levels of hemoglobin and complications were compared between the two groups. Results Compared with thecontrol group, there were lower VAS scores at 24 hours and 7 days after operation, shorter fracture healing time, higherexcellent and good rate of hip joint recovery, higher postoperative 2 weeks hemoglobin level and lower incidence of limbvenous thrombosis in the observation group（P〈0.05）. Conclusion Ferrous lactate in the treatment of femoral intertrochantericfracture with recessive blood loss has significant clinical effects, and it can promote the recovery of joint function.