摘要
目的:观察中西医结合在髋部骨折疼痛中的应用及对手术时机的影响。方法:取髋骨骨折疼痛患者80例,随机分为对照组(n=40)和观察组(n=40)。对照组采用西药止痛治疗,观察组联合中医止痛,比较两组治疗效果及对手术时机的影响。结果:两组入院时VAS评分比较差异无统计学意义(P>0.05);观察组入院后2 h、4 h及术前VAS评分分别为(4.21±0.94、2.15±0.75、0.93±0.53)分,低于对照组VAS评分[分别为(5.39±1.15、3.91±1.04、1.29±0.63)分,(P<0.05)];观察组治疗后抑郁量表及焦虑量表评分分别为(34.12±2.03)和(36.01±1.99),低于对照组的(43.24±2.31)分和(40.93±2.03)分,(P<0.05);两组急诊手术率比较差异无统计学意义(P>0.05);观察组入院后1 d手术率为52.50%,多于对照组37.50%(P<0.05);观察组入院后3 d、入院后7 d及≥7 d手术率分别为12.50%、2.50%和0.00%,显著少于对照组[分别为22.50%、7.50%和2.50%(P<0.05)]。结论:髋部骨折疼痛患者在西药止痛基础上联合中医止痛效果理想,不会影响手术时机,值得推广应用。
Objective To observe the application of integrated traditional Chinese and Western medicine in the pain of hip fracture and its influence on the timing of operation. Methods Eighty patients with hip pain were randomly divided into control group （n=40） and observation group （n=40）. The control group was treat- ed with analgesics, the observation group was treated with combined traditional Chinese and Western medicine.The treatment effects and operation opportunity of two groups were compared. Results There was no significant difference in VAS score between the two groups at admission （P 〉 0.05）. The VAS scores of observation group at 2 h, 4 h and preoperation were 4.21±0.94, 2.15＋0.75, and 0.93＋0.53, respectively. The VAS scores in the control group were 5.39±1.15, 3.91±1.04, and 1.29±0.63 at 2 h, 4 h and preoperation. The rates of emergency operation in two groups had no significantly difference. The SDS and SAS scores in observation group after treatment were 34.12±2.03 and 36.01±1.99, which were significantly lower than those in control group （34.24±2.31 and 40.93±2.03, respectively）. The opera- tive rate was 52.50% in the observation group after 1 day of admission, which was more higher than that in the control group （37.5%, P 〈 0.05）. The operative rates of the observation group on day 3, day 7 and after 7 days of admission were 12.50%, 7.50% and 2.50%, respectively, which were significantly lower than those in the con- trol group （P 〈 0.05）. Conclusion The effect of integrated traditional Chinese and Western medicine on pain of hip fraction is ideal, and the treatment will not affect operation opportunity.
出处
《中国中西医结合外科杂志》
CAS
2017年第5期487-490,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
中西医结合
髋部骨折疼痛
手术时机
止痛效果
Traditional Chinese and Western medicine
hip fracture pain
operation opportunity
analgesic effect
