桃红四物汤加味对股骨粗隆间骨折患者术后骨折愈合、患肢肿胀及功能恢复的影响

The effect of Taohong Siwu decoction on postoperative fracture healing limb swelling,and functional recovery in patients with intertrochanteric fractures of femur

目的:探讨桃红四物汤加味对股骨粗隆间骨折(IFF)患者术后骨折愈合、患肢肿胀及功能恢复的影响。方法:2021年6月—2023年1月本院收治的96例IFF患者在随机数字表法下分为两组,各48例。两组均行股骨近端防旋髓内钉(PFNA)治疗,观察组于术后第2日采用桃红四物汤加味治疗,连续服用14 d。比较两组髋关节功能、骨折愈合、患肢肿胀、血液流变学指标、炎症因子水平及并发症发生率。结果:观察组髋关节功能优良率较对照组高,骨折愈合及患肢肿胀消退时间较对照组短(P<0.05)。两组治疗前血液流变学指标和炎症因子水平比较无统计学差异(P>0.05);两组治疗后血液流变学指标和炎症因子水平低于治疗前,且观察组低于对照组(P<0.05)。观察组并发症发生率较对照组低(P<0.05)。结论:桃红四物汤加味可促进IFF患者术后骨折愈合和患肢肿胀消退,加快功能恢复,值得推广。

Objective:To explore the influence of modified Taohong Siwu decoction on postoperative fracture healing,swelling of the affected limb,and functional recovery of patients with intertrochanteric fracture of the femur(IFF).Methods:96 IFF patients admitted to our hospital between June 2021 and January 2023 were divided into two groups,with 48 patients in each group according to the random number table method.Both the groups underwent PFNA treatment.The observation group was treated with modified Taohong Siwu decoction on the second day after surgery and was administered continuously for 14 days.Hip joint function,fracture healing,swelling of the affected limb,hemorheological indexes,levels of inflammatory factors,and incidence of complications were compared between the two groups.Results:The excellent rate of hip joint function in the observation group was higher than that in the control group,and the time for fracture healing and swelling resolution of the affected limb was shorter than that in the control group(P<0.05).There were no statistically significant differences in the levels of hemorheological indicators and inflammatory factors between the two groups before treatment(P>0.05).After treatment,the levels of hemorheological indicators and inflammatory factors in both groups were lower than those before treatment,and the levels in the observation group were lower than those in the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:Modified Taohong Siwu decoction can promote postoperative fracture healing and swelling subsidence of the affected limb in IFF patients,accelerate functional recovery,and is worthy of promotion.