摘要
目的:探讨补气健脾活血法治疗老年髋部骨折术后疲劳综合征的临床疗效。方法:选取2016年1月-2017年12月我院收治的110例髋部骨折手术后疲劳综合征老年患者为主要研究对象,运用数字随机表达法对其进行分组,每组各55例。对照组患者术后接受常规支持治疗,观察组在对照组基础上增加补气健脾活血法治疗,对两组的临床治疗效果进行对比分析。结果:(1)观察组的临床疗效为90.91%,明显高于对照组的70.91%,两组数据对比差异显著(P <0.05);(2)术后1周,观察组患者的血清转铁蛋白水平较术前和术后第2天相比有显著变化,且观察组的变化幅度明显大于对照组,两组差异有统计学意义(P <0.05);(3)术后第2天、术后1周,观察组患者术后Christensen疲劳评分较术前相比均有显著变化,且明显优于对照组,组内、组间数据对比存在显著差异(P <0.05);(4)观察组患者的生活质量评分明显优于对照组,两组数据对比有显著差异(P<0.05)。结论:对老年髋部骨折手术患者实施补气健脾活血法,可有效治疗术后疲劳综合征,缓解患者的临床症状,缩短术后疲劳综合征的病程,提升患者的生活质量,值得进一步推广和应用。
Objective： To explore the clinical efect of the Buqi Jianpi Huoxue therapy （补气健脾活血法） on postoperative fatigue syndrome in elderly patients with hip fracture. Methods： 110 elderly patients with postoperative fatigue syndrome in our hospital from January 2016 to December 2017 were selected in the study. They were grouped by digital randomization, with 55 patients in each group.The control group was given conventional symptomatic treatment; the observation group was given the Buqi Jianpi Huoxue therapy more. Clinical treatment efects in two groups were compared and analyzed. Results： The clinical efcacy in the observation group was 90.91%, which was signifcantly higher than 70.91% in the control group, with a statistial diference （P〈0.05）. 1 week after operation, the serum transferrin level in the observation group was signifcantly diferent with that before and 2 days after surgery, and the change range in the observation group was signifcantly greater than the control group, with a statistially diference （P〈0.05）. On the 2nd day after surgery and 1 week after operation, the postoperative christensen fatigue scores in the observation group were signifcantly higher than those before operation, and were signifcantly better than the control group. There was signifcant diference between before and after treatment and between groups （P〈0.05）. The quality of life scores in the observation group were signifcantly better than those in the control group, with a statistially diference （P〈0.05）. Conclusion： The Buqi Jianpi Huoxue therapy in elderly patients with hip fracture can efectively treat postoperative fatigue syndrome, alleviate the clinical symptoms of patients, shorten the course of postoperative fatigue syndrome, and improve the life quality of patients. It is worth further promotion and application.
出处
《中医临床研究》
2018年第25期69-71,共3页
Clinical Journal Of Chinese Medicine
关键词
补气健脾活血法
老年髋部骨折
术后疲劳综合征
临床疗效
The Buqi Jianpi Huoxue therapy
Elderly patients with hip fracture
Postoperative fatigue syndrome
Clinical efects
