股骨近端防旋髓内钉联合中药治疗老年股骨转子间骨折的效果

Effect of proximal femoral nail antirotation and Chinese medicine in combination in the treatment of elderly patients with femoral intertrochanteric fractures

目的探讨股骨近端防旋髓内钉(PFNA)联合中药治疗老年股骨转子间骨折的疗效。方法将本院诊断为股骨转子间骨折老年患者96例,随机分为2组,采用PFNA联合中药治疗的48例患者设为联合组,采用PFNA治疗的48例患者设为对照组。比较2组患者术后患肢肿胀消退及骨折愈合时间,术后3、6个月髋关节功能Harris评分。结果联合组患肢肿胀消退时间、术后住院时间及骨折愈后时间均较对照组短,术后3、6个月Harris评分较对照组高(P<0.01);术后3、6个月,联合组髋关节功能优秀率较对照组高(P<0.05)。结论PFNA治疗基础上联合应用中药治疗,有利于消除患肢肿胀,缩短骨折愈合时间,改善髋关节功能。

Objective To observe the clinical effect of proximal femoral nail antirotation(PFNA)combined with Chinese medicine in the treatment of femoral intertrochanteric fractures in the elderly.Methods Ninety-six with femoral intertrochanteric fractures enrolled in the study were randomly divided into combined group(n=48),given PFNA combined with Chinese medicine,and control group(n=48)given PFNA treatment.The subsided time of swollen limb affected,fracture healing time,Harris scores for hip function at 3,6 months after surgery were observed and compared.Results Compared with the control group,the combined group had shorter swelling time,hospital stay after surgery and fracture healing time,and higher Harris scores at 3-and 6-month after surgery(P<0.01).The excellent rate of hip joint function at at 3-and 6-month after surgery was higher than that of the control group(P<0.05).Conclusion Chinese medicine and PFNA in combination can relieve swelling,shorten fracture healing time and improve hip joint function.