补肾化瘀汤联合中药熏洗在老年髋部骨折术后肾虚血瘀证患者中的应用

Application of Bushen Huayu Decoction Combined With Traditional Chinese Medicine Fumigation in Elderly Patients With Kidney Deficiency and Blood Stasis Syndrome After Hip Fracture Surgery

目的 探讨补肾化瘀汤联合中药熏洗在老年髋部骨折术后肾虚血瘀证患者中的应用价值。方法 选取84例行手术治疗的髋部骨折患者作为研究对象,根据门诊号单双号分为对照组(单号)和观察组(双号),各42例;对照组术后采用补肾化瘀汤治疗,观察组在对照组基础上采用中药熏洗治疗,均治疗2个月。比较两组治疗前和治疗2个月中医证候积分;记录两组术后恢复情况(患肢消肿时间、骨折愈合时间和完全负重时间);比较两组治疗前、治疗2个月髋关节功能[采用Harris髋关节功能评分(Harris评分)评估]和日常生活能力[采用改良Barthel指数量表(MBI)评估]。结果 治疗2个月,两组中医证候总积分比治疗前低,且观察组比对照组低(P<0.05);观察组患肢消肿时间、骨折愈合时间和完全负重时间均短于对照组,差异有统计学意义(P<0.05);治疗2个月,两组Harris评分比治疗前高,观察组比对照组高(P<0.05);治疗2个月,两组MBI评分比治疗前高,观察组比对照组高(P<0.05)。结论 补肾化瘀汤联合中药熏洗应用在老年髋部骨折术后肾虚血瘀证患者中,可降低中医证候积分,促进术后恢复,改善髋关节功能,提高日常生活能力。

Objective To explore the application value of Bushen Huayu Decoction Combined with traditional Chinese medicine fumigation in elderly patients with kidney deficiency and blood stasis syndrome after hip fracture surgery.Methods 84patients with hip fractures treated surgically were selected as the research object,According to the outpatient number,single and double numbers were divided into control group(single number)and observation group(double number),with 42 cases in each group;the control group was treated with Bushen Huayu decoction after operation,and the observation group was treated with traditional Chinese medicine fumigation on the basis of the control group for 2 months.The TCM syndrome scores of the two groups before and 2 months after treatment were compared,and the postoperative recovery of the two groups were recorded(swelling elimination time of affected limb,fracture healing time and complete weight-bearing time);hip function [assessed by Harris hip function score(Harris score)] and activities of daily living [assessed by modified Barthel Index(MBI)]were compared between the two groups before and 2 months after treatment.Results After 2 months of treatment,the total score of TCM syndromes in the two groups was lower than that before treatment,and the observation group was lower than that in the control group(P<0.05);the swelling elimination time,fracture healing time and complete weight-bearing time of the affected limb in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05);after 2 months of treatment,the Harris score of the two groups was higher than that before treatment,and that of the observation group was higher than that of the control group(P<0.05);after 2 months of treatment,the MBI score of the two groups was higher than that before treatment,and that of the observation group was higher than that of the control group.Conclusion The application of Bushen Huayu Decoction Combined with traditional Chinese medicine fumigation in elderly patients with kidney deficiency and blood stasis syndrome after hip fracture operation can reduce the score of traditional Chinese medicine syndrome,promote postoperative recovery,improve hip joint function and improve the ability of daily living.