早期肢体功能锻炼联合益气活血和祛瘀通络汤剂对老年髋部骨折手术患者疗效及关节功能的影响

Effectiveness and Effects of Early Functional Exercise of Limbs Combined with Reinforcing Qi Activating Blood and Removing Blood Stasis and Dredging Collaterals Decoction on Joint Function in Elderly Patients Undergoing Surgery for Hip Fracture

目的探讨早期肢体功能锻炼联合益气活血和祛瘀通络汤剂对老年髋部骨折手术患者疗效及关节功能的影响。方法选取2016年3月-2017年12月收治的92例老年髋部骨折手术患者,按不同治疗方式分为对照组和观察组,每组46例。对照组给予益气活血和祛瘀通络汤剂,观察组在对照组基础上进行早期肢体功能锻炼。治疗后对比2组临床疗效、疼痛数字评价量表(NRS)评分、日常生活活动能力量表(ADL)评分、髋关节功能以及并发症发生率。结果观察组临床总有效率和髋关节功能优良率高于对照组,并发症总发生率低于对照组(P<0.05)。治疗后,2组ADL评分较治疗前升高,观察组高于对照组(P<0.05)。治疗后,2组NRS评分较治疗前降低,观察组低于对照组(P<0.05)。结论早期肢体功能锻炼联合益气活血和祛瘀通络汤剂治疗老年髋部骨折手术患者能促进骨折愈合,能改善关节功能,降低并发症发生率,提高患者生活质量。

Objective To investigate effectiveness and effects of early functional exercise of limbs combined with Reinforcing Qi Activating Blood and Removing Blood Stasis and Dredging Collaterals Decoction on joint function in elderly patients undergoing surgery for hip fracture. Methods A total of 92 elderly patients with hip fracture admitted during March 2016 and December 2017 were divided into control group and observation group ( n =46 in each group) according to different therapeutic methods. Control group was treated with Reinforcing Qi Activating Blood and Removing Blood Stasis and Dredging Collaterals Decoction, while observation group was added with early function exercise of limbs on the basis of treatment for control group. After treatment, clinical efficacy, numerical rating scale (NRS) score, activity of daily living scale (ADL) score, hip joint function and incidence rate of complication were compared between two groups. Results In observation group, the total effective rate and the excellent and good rate of hip joint function were significantly higher, while the total incidence rate of complications was significantly lower than those in control group ( P <0.05). After treatment, ADL scores were significantly higher than those before treatment in two groups, and the score in observation group was significantly higher than that in control group ( P <0.05). After treatment, NRS scores were significantly lower than those before treatment in two groups, and the score in observation group was significantly lower than that in control group ( P <0.05). Conclusion Early l functional exercise of limbs combined with Reinforcing Qi Activating Blood and Removing Blood Stasis and Dredging Collaterals Decoction may promote fracture healing, improve joint function, reduce incidence rate of complications and improve life quality of elderly patients undergoing surgery for hip fracture.