中药联合手术治疗中青年囊内型股骨颈骨折临床疗效观察

Clinical effect observation of traditional Chinese medicine combined with operative treatment in younger and middle-aged patients with intracapsular femoral neck fracture

目的 探讨中药联合手术治疗中青年囊内型股骨颈骨折的临床疗效.方法 将90例中青年股骨颈骨折患者按照随机数字表法分为观察组与对照组,各45例.两组均给予空心钉内固定联合股方肌蒂骨瓣移植治疗,观察组在此基础上联合中药治疗,随访3个月.比较两组患者治疗后下地活动时间、住院时间及骨折愈合时间.比较治疗前及随访3个月时两组髋关节 Haris评分量表评分情况及并发症发生率.结果 观察组下地活动时间、住院时间及骨折愈合时间均显著短于对照组(P＜0.01),治疗后两组Haris评分量表各项评分均显著高于治疗前(P＜0.01),观察组较对照组升高更显著(P＜0.05或0.01).两组并发症发生率比较差异无统计学意义(P＞0.05).结论 中药联合手术治疗中青年内囊型骨折患者疗效显著,可缩短患者术后康复时间,促进关节功能恢复,安全性高.

Objective To investigate the clinical value of traditional Chinese medicine combined with operative treatment in younger and middle-aged patients with intracapsular femoral neck fracture. Methods 90 cases of femoral neck fracture patients were randomly divided into the observation group and the control group,45 cases in each group. The two groups were all given hollow screw fixation combined with quadratus femoris muscle pedicle bone flap transplantation, the observation group was plus traditional Chinese medicine on this basis, patients were followed up for 3 months. Compare the leaving bed time, hospital stay, fracture healing time between the two groups. The Haris score and the complication incidence rate between the two groups before treatment and after 3-month follow up were compared. Results The leaving bed time, hospital stay, fracture healing time in the observation group were all significantly shorter than those in the control group (P＜0.01), after treatment, the Haris scores of the two groups were all significantly higher than those before treatment (P＜0.01),the observation group increased more significantly than the control group (P＜0.05 or 0.01). There was no statistic significance in the complication incidence rate between the two groups (P＞0.05). Conclusion Traditional Chinese medicine combined with operative treatment have significant curative effect in younger and middle-aged patients with intracapsular femoral neck fracture, it can shorten the postoperative recovery time and promote the joint function recovery, with higher safety.