补肾活血汤联合温针灸治疗骨质疏松性股骨转子间骨折对骨愈合及骨代谢状态的影响

The effects of the Bushen Huoxue decoction plus warming acupuncture and moxibustion on bone healing and bone metabolism of osteoporotic femoral intertrochanteric fracture patients

目的:探讨分析补肾活血汤联合温针灸治疗骨质疏松性股骨转子间骨折对骨愈合及骨代谢状态的影响。方法:选取2016年1月-2020年12月收治的96例骨质疏松性股骨转子间骨折患者,分为观察组和对照组,对照组术后给予常规治疗,观察组在此基础上给予补肾活血汤联合温针灸治疗,比较两组临床疗效、骨折愈合情况、骨代谢指标及术后并发症发生情况。结果:观察组术后临床总有效率显著高于对照组(P<0.01),骨折愈合情况分级优于对照组(P<0.05)。两组患者治疗后骨形成指标的水平提高,骨吸收指标的水平降低,且治疗后观察组患者骨代谢指标改善更明显(P<0.05)。观察组患者术后并发症发生率显著低于对照组(P<0.05)。结论:对于骨质疏松性股骨转子间骨折患者术后采用补肾活血汤联合温针灸治疗可提高临床疗效和骨折愈合效果,改善骨代谢,缓解骨质疏松,减少术后并发症,值得推广。

Objective:To investigate and analyze the effects of the Bushen Huoxue decoction(补肾活血汤)plus warming acupuncture and moxibustion on bone healing and bone metabolism of osteoporotic femoral intertrochanteric fractures patients.Methods:The 96 cases from January 2016 to December 2020 were selected and divided into the observation group and the control group.After surgery,the control group was treated by routine postoperative treatment,and the observation group was additionally treated with the Bushen Huoxue decoction plus warm acupuncture and moxibustion.Results:The total efficiency in the observation group was obviously higher than the control group(P<0.01).The fracture healing degree in the observation group was better than the control group(P<0.05).After treatment,the levels of bone formation indexes in the two groups were improved,the levels of bone resorption indexes in the groups were reduced,and the bone metabolism indexes in the observation group were ameliorated more significantly(P<0.05).The postoperative complication in the observation group was obviously lower than the control group(P<0.05).Conclusion:Treating postoperative osteoporotic femoral intertrochanteric fractures with the Bushen Huoxue decoction plus warm acupuncture and moxibustion can improve the clinical efficacy and fracture healing effect,ameliorate bone metabolism,relieve osteoporosis,and reduce postoperative complications.It is worthy of promotion.