补肾活血法对老年性股骨粗隆间粉碎性骨折血液流变学指标的影响
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- 论文作者：李扬帆 ; 王仕雄
- 年：2016
- 作者机构：四川省西充县人民医院外一科;
- 论文关键词：股骨粗隆间骨折 ; 补肾活血法 ; 血液流变学指标
- 英文论文关键词：intertrochanteric fracture ; Kidney invigorate the method ; Blood rheology indexes
- 会议召开时间：2016年6月
- 会议录名称：2016《中国组织化学与细胞化学》杂志临床研究研讨会论文汇编
- 语种：中文
- 分类号：R687.3
- 学会代码：ZHXB
- 会议名称：2016《中国组织化学与细胞化学》杂志临床研究研讨会
- 会议地点：中国北京
- 主办单位：《中国组织化学与细胞化学杂志》社有限公司
- 学会名称：《中国组织化学与细胞化学杂志》社有限公司
- 页数：1
- 文件大小：111k
- 原文格式：O
- 会议级别：全国
摘要
目的:观察补肾活血法对老年性股骨粗隆间粉碎性骨折血液流变学指标的影响。方法:100例老年性股骨粗隆间粉碎性骨折均行股骨近端髓内钉内固定术,其中50例观察组给予补肾活血汤,50例对照组给予西药治疗,观察两组治疗前、后血液流变学指标的变化。结果:观察组术后2周Hb、CRP、ESR、D-二聚体水平均显著优于对照组(P<0.05);术后6个月随访,100例患者骨折均获得愈合,观察组Harris评分为90%,对照组为85%(P>0.05)。结论:补肾活血法能促进老年性股骨粗隆间粉碎性骨折患者术后血红蛋白、CRP、血沉、D-二聚体水平的恢复,减轻炎症反应,降低血栓风险,促进患者机能的恢复。
Objective:to observe the kidney invigorate the circulation method for senile intertrochanteric fracture on the influence of the blood rheology indexes.Methods:100 cases of senile intertrochanteric fracture are proximal femoral intramedullary nail fixation,50 cases of observation group was given kidney huoxue soup,50 cases of the control group gives the western medicine treatment,observation of the two groups before treatment,after the change of hemorheology index.Results:after 2 weeks of observation group Hb,CRP,ESR,D- dimer level were significantly better than that of control group(P < 0.05):After 6months follow- up,healing fractures in 100 patients,observation group Harris score was 90%,the control group was 85%(P >0.05).Conclusion:the kidney qi and can promote the senile patients with intertrochanteric fracture on postoperative hemoglobin,CRP,blood sedimentation,D- dimer level recovery,reduce inflammation reaction,reduce the risk of blood clots,promote the recovery of patients with functional.
Objective:to observe the kidney invigorate the circulation method for senile intertrochanteric fracture on the influence of the blood rheology indexes.Methods:100 cases of senile intertrochanteric fracture are proximal femoral intramedullary nail fixation,50 cases of observation group was given kidney huoxue soup,50 cases of the control group gives the western medicine treatment,observation of the two groups before treatment,after the change of hemorheology index.Results:after 2 weeks of observation group Hb,CRP,ESR,D- dimer level were significantly better than that of control group(P < 0.05):After 6months follow- up,healing fractures in 100 patients,observation group Harris score was 90%,the control group was 85%(P >0.05).Conclusion:the kidney qi and can promote the senile patients with intertrochanteric fracture on postoperative hemoglobin,CRP,blood sedimentation,D- dimer level recovery,reduce inflammation reaction,reduce the risk of blood clots,promote the recovery of patients with functional.
引文
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[2]郑银驹,利云峰,郭星,等.动力髋螺钉内固定结合补肾活血中药治疗股骨粗隆间骨折118例[J].广西中医药,2004,27(3):19-20.
[3]何久盛,杜立,等.股骨近端防旋髓内钉与动力髋螺钉治疗成人股骨粗隆间骨折的meta分析[J].解放军医药杂志,2014,16(7):84-90.
[4]范开英,利云峰,郭星,等.DHS内固定结合中药补肾活血治疗股骨粗隆间骨折118例[J].Inner Mongol Journal of Traditional Chinese Medicine,2004(2):5-6.
[5]李世通.PFNA结合中医治疗老年股骨粗隆间骨折疗效分析[J].世界中西医结合杂志,2014,18(6):67-68.
[6]梁启明,翁天才,王鸿洲.中药填精补肾加活血止痛法治疗股骨头坏死[J].广东医学,2011,32(11):1488-1489.
[7]王廷艺凡,苟斌虎,吕发明.老年股骨粗隆间骨折的中西医治疗综述[J].新疆中医药,2013,31(2):75-78.
[8]党兴.股骨近端防旋髓内钉配合中医药治疗股骨粗隆间骨折40例[J].中国矫形外科杂志,2012,20(17):183-184.