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补肾填髓汤治疗股骨骨折术后延迟愈合疗效分析 被引量:4
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作者 白和平 《中国民康医学》 2017年第15期66-67,70,共3页
目的:观察补肾填髓汤治疗股骨骨折术后延迟愈合疗效。方法:120例股骨骨折术后延迟愈合患者,按随机数字表法分为对照组60例,观察组60例。对照组自体骨移植、骨髓血注射治疗3个月;观察组在此基础上加用补肾填髓汤,治疗3个月。治疗后,根据... 目的:观察补肾填髓汤治疗股骨骨折术后延迟愈合疗效。方法:120例股骨骨折术后延迟愈合患者,按随机数字表法分为对照组60例,观察组60例。对照组自体骨移植、骨髓血注射治疗3个月;观察组在此基础上加用补肾填髓汤,治疗3个月。治疗后,根据临床疗效、骨代谢指标、并发症评定两组临床效果。结果:治疗后,观察组总有效率93.33%高于对照组的66.67%,差异具有统计学意义(P<0.05);两组骨代谢指标治疗组优于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为13.33%,对照组为15%,组间对比差异无统计学意义(P>0.05)。结论:补肾填髓汤治疗股骨骨折术后延迟愈合,可提高临床治疗效果,安全可靠。 展开更多
关键词 股骨骨折 术后延迟愈合 补肾填髓汤 骨髓血注射 自体骨移植
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补益健脾祛湿方加减对老年股骨上段骨折术后延迟愈合患者骨代谢水平的影响 被引量:3
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作者 李洪臣 《临床研究》 2023年第5期127-129,共3页
目的观察补益健脾祛湿方加减对老年股骨上段骨折术后延迟愈合患者骨代谢水平的影响。方法选取项城市中医院2021年6月至2022年6月收治的86例老年股骨上段骨折患者,根据随机数字表法将患者分为观察组(N=43例)与对照组(N=43例),两组入院后... 目的观察补益健脾祛湿方加减对老年股骨上段骨折术后延迟愈合患者骨代谢水平的影响。方法选取项城市中医院2021年6月至2022年6月收治的86例老年股骨上段骨折患者,根据随机数字表法将患者分为观察组(N=43例)与对照组(N=43例),两组入院后均给予自体骨移植术及骨髓血注射治疗,观察组再给予补益健脾祛湿方加减治疗。观察两组术后恢复情况及治疗前后X线骨折愈合程度评分、骨代谢水平[碱性磷酸酶(ALP)、骨钙素(OC)]、髋关节功能评分量表(Harris)评分变化,并统计两组临床疗效。结果观察组肿胀缓解时间、瘀斑消失时间及骨折愈合时间均短于对照组,差异有统计学意义(P<0.05)。治疗后,观察组X线骨折愈合程度评分、ALP、OC、Harris评分等均优于对照组,且观察组治疗有效率显著高于对照组,差异有统计学意义(P<0.05)。结论在自体骨移植术及骨髓血注射治疗基础上实施补益健脾祛湿方加减,不仅能促进老年股骨上段骨折患者术后骨折愈合,还能改善其骨代谢水平,对于其术后功能恢复正常也具有重要作用,可显著提高治疗效果。 展开更多
关键词 老年股骨上段骨折患者 术后延迟愈合 补益健脾祛湿方加减 自体骨移植及骨髓血注射 骨代谢水平
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Effect of Xuebijing injection on hematopoietic homeostasis of LPS induced sepsis in mice
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作者 Ping Wang Jun Wang +5 位作者 Ying Hao Xiao-Rui Li Ya-Ru Feng Lan Wang Hong-Cai Shang Jian-Xun Wang 《TMR Modern Herbal Medicine》 2019年第4期206-214,共9页
Objective:To explore the effect and mechanism of Xuebijing injection (XBJ) on the hematopoietic homeostasis of bone marrow (BM) in septic mice. Methods:BM cells stimulated with XBJ were analyzed by inverted optical mi... Objective:To explore the effect and mechanism of Xuebijing injection (XBJ) on the hematopoietic homeostasis of bone marrow (BM) in septic mice. Methods:BM cells stimulated with XBJ were analyzed by inverted optical microscope and qPCR, to evaluate the effect of XBJ on differentiation function of BM cells in vitro. Lipopolysaccharide (LPS) 055:B5 at the dose of 20mg/kg was used to establish the sepsis model. To determine the hematopoietic stem cells homeostasis affected by LPS in mice, BM cells were isolated and analyzed by flow cytometry based on the immunophenotypic surface markers. 20ml/kg of XBJ was administered by tail vein once/day after peritoneal injection of LPS. All animals were sacrificed on the fifth day. The frequency of hematopoietic stem cells (HSC) and immune cells in mice were quantified by flow cytometry. The gene expression of transcription factors were detected by qPCR. Results:XBJ promoted myeloid differentiation of BM cells in vitro, which may be related to the mRNA expression of the transcription factors. The results in vivo showed the percentage of BM Lin-SCA-1+c-KIT+(LSK) cells, and Long-term HSCs (LT-HSC) were significantly increased in LPS group. But the percentage of multipotential progenitors (MPPs), granulocyte-monocyte progenitor (GMP) and megakaryocytic-erythroid precursor (MEP) were significantly decreased in LPS group. Whereas, XBJ improved the immune function in sepsis mice by suppression the LSK expansion in vivo. The result of qPCR showed that LSD1 and PU.1 mRNA expression in XBJ group were significantly higher than LPS group and control group respectively. Conclusion:Xuebijing injection can improve immune function in sepsis mice by regulating hematopoietic homeostasis. Its mechanism may be related to the up-regulation of LSD1 and PU.1 gene expressions. 展开更多
关键词 Xuebijing injection SEPSIS Bone marrow Hematopoietic homeostasis
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