摘要
目的:对比中青年股骨颈骨折治疗中壮筋续骨方联合改良内固定术对临床疗效及预后的影响。方法:研究对象选取2014年5月—2016年8月的中青年股骨颈骨折患者87例,将其按数字表法随机分为两组,即对照组(34例)和研究组(53例),其中对照组患者采用改良内固定术联合常规治疗,研究组患者采用改良内固定术联合壮筋续骨方治疗。对比两组患者髋关节功能评分、生活质量评分和预后情况。结果:研究组患者活动度、功能、疼痛评分均明显高于对照组,且均有统计学差异(P<0.05),在畸形评分方面,两组患者对比无统计学差异(P>0.05)。两组患者情绪角色受限、社交功能、躯体角色受限等方面对比无统计学差异(P>0.05),两组患者心理健康、躯体疼痛、整体健康、活力、躯体功能等对比有统计学差异(P<0.05)。研究组患者骨折愈合时间明显短于对照组,且有统计学差异(P<0.05)。对照组患者中股骨头坏死患者有11例,研究组患者中股骨头坏死患者中有6例,两组患者股骨头坏死发生率有统计学差异(P<0.05)。对照组患者中骨塌陷患者有4例,研究组患者中骨塌陷患者有2例,两组患者骨塌陷发生率无统计学差异(P>0.05)。对照组患者中骨折不愈合患者有2例,研究组患者中骨折不愈合患者有2例,两组患者骨折不愈合发生率对比无统计学差异(P>0.05)。结论:对中青年股骨颈骨折患者进行改良内固定术联合壮筋续骨方进行治疗,可减少股骨头坏死发生率,促进骨折愈合,促进患者康复。
Objective: To research the influence of clinical efficacy and prognosis of modified operation combined with Zhuangjin Xugu Formula on young and middle-aged femoral neck fracture patients.Methods: A total of 87 patients with young and middle-aged femoral neck fracture were enrolled in our hospital from May 2014 to August 2016.They were divided into control group and research group.The patients of control group were treated by modified operation combined with traditional therapy while the patients of research group were treated by modified operation combined with Zhuangjin Xugu Formula.We compared the hip function score, quality of life score and prognosis of two groups.Results: The scores of activity, function and pain of research group were much higher than those of the control group(P<0.05).on malformation aspect, there was no statistical difference between two groups(P>0.05).The aspects such as emotional role limitation,social function, body role limitation of two groups had no statistical difference(P>0.05).The aspects such as mental health, body pain, holistic health,vitality and body function of two groups had statistical difference(P<0.05).The fracture healing time of research group was much shorter than that of the control group(P<0.05).There were 11 patients with femoral head necrosis in control group, 6 patients in research group.The rate of femoral head necrosis of two groups had statistical differnece(P<0.05).There were 4 patients with bone collapses in control group, 2 patients in research group.The rate of bone collapses of two groups had no statistical difference(P>0.05).There were 2 patients with nonunion in control group, 2 patients in research group.The nonunion rate of two groups had no statistical difference(P>0.05).Conclusion: To treat the patients with femoral neck fracture of young and middle-aged patients,modified operation with Zhuangjin Xugu formula can reduce the incidence of femoral head necrosis, promote fracture healing and the recovery of patients.
作者
李智
谭显春
徐利军
王玉川
杜美廷
LI Zhi;TAN Xianchun;XU Lijun;WANG Yuchuan;DU Meiting(Dazhou Central Hospital,Dazhou 635000,Sichuan,China;Dazhou Hospital of Integrated Traditional Chinese and Western Medicine,Dazhou 635000,Siehuan,China)
出处
《中华中医药学刊》
CAS
北大核心
2019年第1期196-199,共4页
Chinese Archives of Traditional Chinese Medicine
基金
四川省卫生厅科研项目(1603485)
关键词
股骨颈骨折
壮筋续骨方
股骨头坏死
改良内固定术
中青年
femoral neck fracture
Zhuangjin Xugu Formula
femoral head necrosis
modified operation
young and middle-aged
