运动康复锻炼联合补肾活血方对髋部骨折术后髋关节功能、骨生物力学指标和骨密度的影响

Effects of exercise rehabilitation plus the Bushen Huoxue prescription on hip jointfunction, bone biomechanical index and bone density after hip fracture operation

目的:探讨分析运动康复锻炼联合补肾活血方对髋部骨折术后髋关节功能、骨生物力学指标和骨密度的影响。方法:将我院收治的90例髋部骨折术后患者随机分为对照组和观察组,每组45例,对照组给予常规运动康复锻炼,观察组在对照组基础上给予补肾活血方治疗,比较两组患者术后治疗效果、髋关节功能、骨生物力学指标、骨密度。结果:观察组总有效率高于对照组(χ2=6.941,P=0.012);治疗前两组患者髋关节功能比较,P>0.05。治疗后两组患者髋关节评分均降低,且观察组优于对照组(P<0.05);治疗前两组患者股骨粗隆、L1椎体、L2椎体骨密度水平比较,P>0.05。治疗后股骨粗隆、L1椎体、L2椎体骨密度水平均升高,且观察组优于对照组(P<0.05)。结论:运动康复锻炼联合补肾活血方对髋部骨折术后具有较高的临床疗效,可改善术后髋关节功能、骨生物力学指标和骨密度,改善髋关节术后恢复情况。

Objective:To explore the effect of exercise rehabilitation plus the Bushen Huoxue prescription(补肾活血方)on hip joint function,bone biomechanical index and bone density after hip fracture operation.Methods:90 patients were randomly divided into the control group and observation group,45 cases in each.The control group was given regular exercise rehabilitation,and the observation group was given the Bushen Huoxue prescription more.The effect,hip function,bone biomechanics index and bone density were compared.Results:The total efficiency in the observation group was higher than the control group(χ2=6.941,P=0.012).After treatment,the scores of hip joint in groups were decreased,and that in the observation group was better than the control group(P<0.05).The bone mineral density of femoral trochanter,L1 and L2 vertebrae were increased,and those in the observation group were better than the control group(P<0.05).Conclusion:Exercise rehabilitation plus the Bushen Huoxue prescription shows a effect on hip fracture after operation,can improve the function of hip joint,bone biomechanical index and bone density,and recovery of hip joint after operation.