摘要
目的:探讨当归补血汤对PFNA治疗老年股骨粗隆间骨折隐性失血的影响。方法选择2012年12月—2013年12月本科采用PFNA治疗的股骨粗隆间骨折老年患者68例,根据住院号奇偶性随机分为观察组(n=34)和对照组(n=34)。观察组患者服用当归补血汤,对照组予以硫酸亚铁片治疗。观察两组术后患者的血红蛋白和红细胞压积变化,并通过Harris评分评价两组患者髋关节功能情况。结果:与对照组相比,观察组患者在术后第3天和第7天的Hb水平变化均具有显著性差异(P<0.05),此外观察组患者在术后第7天的Hct水平变化具有显著性差异(P<0.05)。随访结果显示,观察组患者在术后第1个月和第3个月的Harris评分均显著高于对照组(P<0.05)。结论:当归补血汤在改善老年粗隆间骨折PFNA术后隐性失血导致的贫血症状具有一定优势,而且有助于促进患者髋关节功能恢复,值得在临床中推广应用。
Objective：Investigate the effect of Danggui Buxue Decoction therapy for hidden blood loss in the elderly femoral intertrochanteric fracture with PFNA. Methods：PFNA in treatment of 68 cases with femoral intertrochanteric fracture from December 2012 to December 2013 in our hospital were divided into normal observation group（n = 34）and control group（n = 34）randomly according to their hospitalization number. Danggui Buxue Decoction therapy were applied in observation group,and ferrous sulfate tablets therapy were applied in control group. Observe the hemoglobin and hematocrit in the two groups pre and post treatment,and the hip function of the patients were evaluated by Harris. Results：Compared with control group,observation group showed significant change of hemoglobin level in the first three and seven days after surgery（P〈0.05）and observation group showed significant increased the level of hematocrit in the first seven day after surgery（P〈0.05）. The result of follow-up showed that the hip function of observation group showed higher than control groups in the first one and three months after treatment（P〈0.05）. Conclusion：Danggui Buxue Decoction therapy have a significant curative effect for hidden blood loss in the elderly femoral intertrochanteric fracture with PFNA while promoting the role of hip function recovery,and it can be used widely in clinical work.
出处
《辽宁中医药大学学报》
CAS
2016年第4期200-202,共3页
Journal of Liaoning University of Traditional Chinese Medicine
