[1]史国号１,王晓伟１,霍洪亮１,等.抗疏强骨合剂对高龄髋部骨折手术患者治疗效果的临床研究[J].现代中医药,2019,(05):087-90.[doi:10.13424/j.cnki.mtcm.2019.05.027]
　Shi Guohao Wang Xiaowei Huo Hongliang Wang Guozhu Xiao Bin Ou Guofeng Feng Qing Liu Deyu.Clinical study on the Therapeutic Effect of Anti - osteoporosis and Bones Strengthening Mixture on Elderly Patients with Hip Fracture Operation[J].Modern Traditional Chinese Medicine,2019,(05):087-90.[doi:10.13424/j.cnki.mtcm.2019.05.027]
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抗疏强骨合剂对高龄髋部骨折手术患者治疗效果的临床研究()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2019年05期
页码:
087-90
栏目:
临床研究
出版日期:
2019-09-16

文章信息/Info

Title:
Clinical study on the Therapeutic Effect of Anti - osteoporosis and Bones Strengthening Mixture on Elderly Patients with Hip Fracture Operation
文章编号:
1672-0571(2019)05-0087-04
作者:
史国号１; 王晓伟１; 霍洪亮１; 王国柱１; 肖斌１; 欧国锋１; 冯青１; 刘德玉２
陕西中医药大学第二附属医院
Author(s):
Shi Guohao 1 Wang Xiaowei 1 Huo Hongliang 1 Wang Guozhu 1 Xiao Bin 1 Ou Guofeng 1 Feng Qing 1 Liu Deyu 2
1. The Second Affiliated Hospital of Shaanxi University of Chinese Medicine, Xiangyang China 712000; 2. Affiliated Hospital of Shaanxi University of Chinese Medicine, Xiangyang China 712000
关键词:
抗疏强骨合剂; 高龄患者; 髋部手术
Keywords:
Anti - osteoporosis and Bones Strengthening Mixture ;  elderly patients;  hip surgery
分类号:
R683
DOI:
10.13424/j.cnki.mtcm.2019.05.027
文献标志码:
A
摘要:
观察抗疏强骨合剂对髋部骨折手术患者的临床效果。方法 收集２０１６年３月 ～２０１８年４月收 治 ２８４例（年龄≥７５岁）髋部骨折手术患者临床资料，治疗组：手术结合抗疏强骨合剂与对照组：单纯手术治疗。 其中 ＰＦＮＡ９６例（对照组 ４８例，治疗组 ４８例）、ＤＨＳ６０例（对照组 ２８例，治疗组 ３２例）、ＴＨＡ１２８例（对照组 ６０ 例，治疗组 ６８例），比较相同治疗方案下对照组与治疗组的治疗效果、手术相关指标、术后并发症、髋部功能评分 及死亡率。结果 治疗组手术出血量少于对照组（Ｐ＜０．０５）；治疗手术时间少于对照组，但差异无统计学意义（Ｐ ＞０．０５）；卧床时间、负重时间治疗组均小于对照组（Ｐ＜０．０５）；术后 １年并发症各指标中治疗组血栓及假体松 动率优于对照组（Ｐ＜０．０５），感染率死亡率无临床差异（Ｐ＞０．０５）；术后髋关节功能治疗组优于对照组（Ｐ＜ ０．０５）。结论 结合临床大样本资料分析抗疏强骨合剂对高龄髋部手术患者，可减少出血量、缩短患肢负重天数， 减少术后血栓发生率及假体松动，使髋关节功能恢复更理想。
Abstract:
To observe the therapeutic effect of Anti - osteoporosis and Bones Strengthening Mixture on elderly patients with hip fracture operation. Methods: Clinical data of 284 patients with hip fracture treated from March 2016 to April 2018 were collected. The experimental group: surgery combined with Anti - osteoporosis and Bones Strengthening Mixture and blank group: surgery alone; The experimental group included 96 cases of PFNA ( 48 cases in blank group, 48 cases in experimental group) , 60 cases of DHS ( 28 cases in blank group, 32 cases in experimental group) and 128 cases of THA1. ( 60 cases in blank group and 68 cases in experimental group) The therapeutic effect, operative related indexes, postoperative complications, hip function score and mortality were compared between blank group and experimental group under the same treatment regimen. Results: The amount of bleeding during operation in the experimental group was less than that in the blank group ( P < 0. 05) ; the operation time in the experimental group wasless than that in the blank group, but there was no significant difference ( P > 0. 05) ; the bed - rest time and weight -bearing time in the experimental group were less than that in the blank group ( P < 0. 05) ; the thrombus and prosthesis loosening rate in the experimental group was better than that in the blank group one year after operation. There was no clinical difference in infection rate and mortality rate ( P > 0. 05) , and the experimental group of hip joint function after operation was better than the blank group ( P < 0. 05) . Conclusion: Combining with large clinical sample data, Anti - osteoporosis and Bones Strengthening Mixture can reduce the amount of bleeding, shorten the days of weight - bearing of affected limbs, reduce the incidence of thrombosis and loosening of prosthesis, and make the recovery of hip joint function more ideal.

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备注/Memo

备注/Memo:
基金项目：２０１８年陕西卫生健康科研项目（２０１８Ａ０１８
更新日期/Last Update: 2019-09-15