[1]蒋晓伟,王强,应璞,等.基于倾向性评分匹配法探讨血府逐瘀汤对老年股骨粗隆间骨折患者PFNA术后康复的影响[J].西部中医药,2024,37(06):111-115.[doi:10.12174/j.issn.2096-9600.2024.06.26]
　JIANG Xiaowei,WANG Qiang,YING Pu,et al.The Effect of Xuefu Zhuyu Decoction on the Rehabilitation of Elderly Patients with Intertrochanteric Fracture of the Femur after PFNA Based on the Propensity Score Matching Method[J].Western Journal of Traditional Chinese Medicine,2024,37(06):111-115.[doi:10.12174/j.issn.2096-9600.2024.06.26]
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基于倾向性评分匹配法探讨血府逐瘀汤对老年股骨粗隆间骨折患者PFNA术后康复的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年06期
页码:
111-115
栏目:
临床研究
出版日期:
2024-06-15

文章信息/Info

Title:
The Effect of Xuefu Zhuyu Decoction on the Rehabilitation of Elderly Patients with Intertrochanteric Fracture of the Femur after PFNA Based on the Propensity Score Matching Method
作者:
蒋晓伟, 王强, 应璞, 江文涛, 钱志渊, 陆苇
常熟市中医院（新区医院），江苏 常熟 215500
Author(s):
JIANG Xiaowei, WANG Qiang, YING Pu, JIANG Wentao, QIAN Zhiyuan, LU Wei
Changshu City Hospital of TCM (New Zone Hospital), Changshu 215500, China
关键词:
股骨粗隆间骨折; 老年; 防旋股骨近端髓内钉; 血府逐瘀汤; 倾向性评分匹配法
Keywords:
intertrochanteric femoral fracture;  elderly; proximal femoral nail antirotation; decoction; propensity score matching method
分类号:
R274.1
DOI:
10.12174/j.issn.2096-9600.2024.06.26
文献标志码:
B
摘要:
目的基于倾向性评分匹配法探讨血府逐瘀汤对老年股骨粗隆间骨折患者PFNA术后康复的影响。 方法回顾性分析140例行防旋股骨近端髓内钉（proximal femoral nail antirotation，PFNA）手术治疗的股骨粗隆间骨折患者，使用SPSS 22.0进行倾向性匹配评分匹配分为观察组（血府逐瘀汤治疗）和对照组（常规支持治疗）各50例，比较两组术后相关康复治疗指标，并对两组用药安全性进行评价分析。 结果
Abstract:
ObjectiveTo investigate the influence of Xuefu Zhuyu decoction on postoperative rehabilitation of PFNA in elderly patients with intertrochanteric fracture of the femur based on the propensity score matching method. MethodsAll 140 patients undergoing proximal femoral nail antirotation (PFNA) surgery were retrospe-ctively analyzed, they were divided into 50 cases each in the observation group (Xuefu Zhuyu decoction) and the control group (conventional supportive therapy) by propensity score matching using SPSS 22.0, to compare the two groups with respect to the relevant rehabilitation indexes, to evaluate and analyze the safety of medication in the two groups. ResultsThe syndrome scores, the degree of swelling of the affected limbs on the fifth and seventh days after operation, the VAS score, the levels of serum leukocyte and C-reactive protein on the third and seventh days after operation of the observation group were significantly lower than those of the control group (P<0.05), while the levels of serum hemoglobin and erythrocyte pressure volume on the seventh day after operation and the Harris score at one month after operation were significantly higher than those of the control group (P<0.05); when comparing the incidences of adverse reactions of the two groups, the differences were not statistically significant (P>0.05) ConclusionPFNA combined with oral administration of the decoction can obtain definite effects in the rehabilitation of the patients after the operation, significantly reduce the degree of swelling of the affected limbs, relieve the local pain of patients in a shorter period of time, reduce the postoperative occult blood loss, improve the Harris score, and quickly restore the function of the hip joint, without increasing the risk of the safety of patients' use of the medication.

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备注/Memo

备注/Memo:
蒋晓伟（1985—），男，硕士学位，副主任医师。研究方向：脊柱及创伤疾病的诊治。2019年度苏州市临床重点病种诊疗技术专项（LCZX201923）。
更新日期/Last Update: 2024-06-15