摘要
目的:探讨PFNA内固定联合中医综合疗法治疗老年股骨粗隆间骨折的临床效果。方法:将2016年1-12月收治的48例老年股骨粗隆骨折患者随机分组,对照组采用防旋股骨近端髓内钉(PFNA)进行治疗,观察组采用PFNA联合中医综合疗法进行治疗。比较两组康复效果、不良反应与手术指标等。结果:(1)和对照组(66.67%)对比,观察组的治疗总有效率(95.83%)明显更高,数据比较差异显著,P<0.05。(2)和对照组对比,观察组生活质量评分明显更高,即观察组中总体健康情况评分为(88.29±2.55)、身体疼痛为(85.50±3.33)、活力为(90.35±4.55)、生理功能为(86.23±4.60)、生理职能为(86.30±5.19)、社会功能为(90.25±3.25)、精神健康为(91.35±3.20)、情感职能为(90.96±3.30),P<0.05。观察组治疗后生活质量评分明显高于治疗前,P<0.05。(3)和对照组(33.33%)对比,观察组不良反应发生率(4.17%)明显更低,数据比较差异显著,P<0.05。(4)与对照组对比,观察组平均住院时间为(6.30±1.50)周,平均骨折愈合时间为(3.20±0.55)个月,明显更短,数据比较差异显著,P<0.05。结论:PFNA内固定联合中医综合疗法治疗老年股骨粗隆间骨折的临床效果显著,可有效地促进骨折部位愈合,有利于改善患者的预后情况,值得临床广泛应用。
Objective:To investigate the clinical effect of PFNA internal fixation plus TCM comprehensive therapy on intertrochanteric fractures of the elderly.Methods:48patients were randomly divided into two groups.The control group was treated by PFNA.The observation group received TCM comprehensive therapy more.Results:The total efficiency was66.67%in the control group,less than95.83%in the observation group(P<0.05).The quality scores in the observation group were significantly higher than the control group and before treatment,P<0.05.Adverse reaction was33.33%in the control group,significantly more than4.17%in the observation group(P<0.05).The average time of hospitalization was(6.30±1.50)weeks;and average fracture healing time was(3.20±0.55)months;those in the observation group were shorter than the control group.Conclusion:PFNA internal fixation plus TCM comprehensive therapy on intertrochanteric fractures of the elderly was effective,by promoting the healing of fracture site and improving the prognosis,and is worthy of clinical application.
出处
《中医临床研究》
2018年第1期52-54,共3页
Clinical Journal Of Chinese Medicine
关键词
PFNA
内固定
中医综合疗法
老年股骨粗隆间骨折
PFNA internal fixation
TCM comprehensive therapy
Intertrochanteric fractures of the elderly