八珍汤治疗老年人股骨粗隆间骨折PFNA术后贫血的临床疗效

Clinical Effect of Bazhen Decoction on Anemia after PFNA Operation of Intertrochanteric Fracture of Femur in the Elderly

目的:探究八珍汤加减应用在老年人股骨粗隆间骨折行防旋股骨近端髓内钉(PFNA)术后贫血治疗的临床疗效。方法:选取南安市中医院自2022年2月至2023年2月期间收治的62例接受股骨粗隆间骨折PFNA手术老年患者,将其随机分成观察组与对照组,各31例。两组患者均给予常规抗凝、消肿与预防感染,观察组患者在手术当日过后连续接受八珍汤加减治疗,比较两组患者临床疗效。结果:治疗后观察组患者血细胞比容(HCT)、血红蛋白(Hb)水平均高于对照组,差异具有统计学意义(P <0.05);观察组患者中医证候改善总有效率为96.77%,高于对照组的77.42%,差异具有统计学意义(P <0.05);观察组患者贫血疗效总有效率为93.55%,高于对照组的70.97%,差异具有统计学意义(P <0.05)。结论:将八珍汤加减应用于老年人股骨粗隆间骨折PFNA术后贫血治疗中,其临床疗效显著,能够很好地改善患者术后贫血问题,很好地改善患者气血两虚的症状,促使患者术后身体更快康复。

Objective To explore the clinical efficacy of Bazhen decoction in the treatment of anemia in elderly patients with intertrochanteric fracture of femur after proximal femoral nail antirotation(PFNA).Methods A total of 62 elderly patients receiving PFNA surgery for intertrochanteric fracture of femur were selected from Nanan Hospital of Traditional Chinese Medicine from February 2022 to February 2023,and randomly divided into an observation group and a control group,with 31 cases in each group.Patients in both groups were given routine anticoagulation,detumescence and infection prevention.Patients in the observation group received continuous treatment with Bazhen decoction after the day of operation,and the clinical efficacy of patients in the two groups was compared.Results After treatment,the levels of hematocrit(HCT) and hemoglobin(Hb) were higher in the observation group compared to those in the control group,and the differences were statistically significant(P < 0.05).The total effective rate of traditional Chinese medicine(TCM) syndrome improvement in the observation group was 96.77%,higher than 77.42% in the control group,the difference was statistically significant(P < 0.05).The total effective rate of anemia in the observation group was 93.55%,which was higher than that in the control group(70.97%),and the difference was statistically significant(P < 0.05).Conclusion The application of Bazhen decoction in the treatment of anemia after PFNA operation of intertrochanteric fracture of femur in the elderly has significant clinical effect,which can effectively improve the postoperative anemia of patients,improve the symptoms of Qi and blood deficiency,and promote a faster recovery for patients after surgery.