祛瘀生骨汤结合中医情志护理在早期股骨头坏死中的应用
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摘要
目的:观察祛瘀生骨汤结合中医情志护理及功能锻炼在早期股骨头坏死中的应用价值。方法:将股骨头坏死行保守治疗的患者80例按照随机数字表法分为2组各40例,对照组实施常规护理,观察组在对照组护理的基础上加强情志护理,并结合功能锻炼指导,比较干预后2组患者血浆S-100B蛋白及NSE水平变化情况,干预前后2组患者Harris髋关节评分以及坏死股骨头恢复情况。结果:干预后观察组患者血浆S-100B蛋白及神经元特异性烯醇化酶(NSE)水平均低于对照组(P<0.05);干预后观察组患者Harris髋关节评分优于干预前及对照组(P<0.05);观察组患者卧床及住院时间、使用助步器时间短于对照组(P<0.05)。结论:祛瘀生骨汤配合中医情志护理能改善早期股骨头坏死患者神经系统功能,改善髋关节恢复情况,促进患者早日康复。
Objective: To observe application value of QuYu ShengGu decoction combined with TCM emotional care and functional exercise in early femoral head necrosis. Methods: Eighty patients who accepted conservative therapy were divided into two groups using random number table method, 40 cases each group, the control group received conventional care, and the observation group emotional care based on the control group, combined with functional exercise, the levels of NSE and S-100 B albumen of the patients after the intervention, the recovery of necrotic femoral head and Harris hip joint scores of both groups were compared. Results: After the intervention, the levels of S-100 B albumen and NSE of the observation group were lower than these of the control group(P<0.05);after the intervention, Harris hip joint scores of the observation group were better than these before intervention and these of the control group after the intervention(P<0.05); the observation group was shorter than the control group in bedrest time, hospitalization time and the time of using walker(P<0.05). Conclusion: QuYu ShengGu decoction combined with TCM emotional care could improve neurological function of the patients with early femoral head necrosis and the recovery conditions of hip joint, and promote early rehabilitation of the patients.
Objective: To observe application value of QuYu ShengGu decoction combined with TCM emotional care and functional exercise in early femoral head necrosis. Methods: Eighty patients who accepted conservative therapy were divided into two groups using random number table method, 40 cases each group, the control group received conventional care, and the observation group emotional care based on the control group, combined with functional exercise, the levels of NSE and S-100 B albumen of the patients after the intervention, the recovery of necrotic femoral head and Harris hip joint scores of both groups were compared. Results: After the intervention, the levels of S-100 B albumen and NSE of the observation group were lower than these of the control group(P<0.05);after the intervention, Harris hip joint scores of the observation group were better than these before intervention and these of the control group after the intervention(P<0.05); the observation group was shorter than the control group in bedrest time, hospitalization time and the time of using walker(P<0.05). Conclusion: QuYu ShengGu decoction combined with TCM emotional care could improve neurological function of the patients with early femoral head necrosis and the recovery conditions of hip joint, and promote early rehabilitation of the patients.
引文
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[2]张继红,唐洁.156例股骨头坏死患者早期保守治疗的护理体会[J].武警后勤学院学报:医学版,2014,23(11):955-956.
[3]丁立新.68例股骨头缺血性坏死患者中医适宜技术治疗及护理体会[J].北京中医药,2012,31(1):58-59.
[4]丁祎,余娇.人工假体置入治疗股骨头坏死术后中西医结合护理的疗效分析[J].现代中西医结合杂志,2015,24(31):3518-3522.
[5]常红,葛晓红.股骨头无菌性坏死治疗的中医护理体会[J].新疆中医药,2011,29(6):55-56.
[6]白娜.股骨头坏死中医辨证护理体会[J].辽宁中医药大学学报,2014,16(6):144-145.
[7]陈满秀.瘢痕子宫164例再次妊娠分娩方式的相关探讨[J].基层医学论坛,2014,18(4):422-423.
[8]孟桂敏,周兰.182例瘢痕子宫再次妊娠分娩试产的结果分析[J].中国妇产科临床杂志,2015,16(1):67-68.
[9]张晓君.缺血性股骨头坏死的中医护理[J].天津护理,2016,24(1):67.
[10]张意辉.祛瘀生骨汤配合中医护理治疗早期股骨头坏死的体会[J].云南中医中药杂志,2016,37(10):86-87.
[11]洪艺,陈小丽.钽棒植入联合外周干细胞移植治疗早期股骨头坏死的护理[J].中医正骨,2012,24(11):76-77.
[12]陈浩,高明宏.髓芯减压复合BMP植入联合钽金属支撑器支撑治疗中青年早期股骨头坏死患者的临床护理观察[J].河北医学,2014,21(5):834-838.
[13]廖静,孟菲.髓心减压人工骨植入治疗早期股骨头坏死的护理[J].中国医药科学,2014,4(4):137-139.
[14]胡少川,刘群英.早期股骨头坏死中医治疗体会[J].实用中医药杂志,2012,28(9):790-791.
[15]邓秋媚.钽棒植入治疗早期股骨头缺血性坏死的护理[J].护理实践与研究,2014,11(10):45-46.
[16]武素艳.中医四联顺次疗法治疗股骨头坏死32例护理干预[J].齐鲁护理杂志,2014,20(12):30-31.
[17]程宗敏.中医辨证联合髓芯减压植骨术治疗早期股骨头坏死临床研究[J].中医学报,2014,29(12):1751-1755.