[1]李生.桃红四物汤辅助手术治疗股骨颈骨折28例[J].西部中医药,2012,25(12):79-80.
　LI Sheng.Surgery and Supplementary TaoHong SiWuTang in Treating 28 Cases of Transcervical Fracture[J].Western Journal of Traditional Chinese Medicine,2012,25(12):79-80.
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桃红四物汤辅助手术治疗股骨颈骨折28例
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
25
期数:
2012年12期
页码:
79-80
栏目:
出版日期:
2012-12-15

文章信息/Info

Title:
Surgery and Supplementary TaoHong SiWuTang in Treating 28 Cases of Transcervical Fracture
文章编号:
1004-6852(2012)12-0079-02
作者:
李生
定西市第二人民医院外四科，甘肃 定西 743000
Author(s):
LI Sheng
The Fourth Surgical Department of the Second People忆s Hospital of Dingxi Municipality, Dingxi 743000, China
关键词:
股骨颈骨折; 空心螺钉; 内固定; 桃红四物汤; Harris 评分
Keywords:
transcervical fracture;  hollow screw;  internal fixation; TaoHong SiWuTang;  Harris scale
分类号:
R274.12
文献标志码:
B
摘要:
目的：探讨桃红四物汤辅助手术治疗股骨颈骨折的临床疗效。方法：将56例股骨颈骨折患者随机分观察组、对照组各28例，2组均采用空心螺钉内固定术，观察组术后给予桃红四物汤加减治疗，比较2组临床疗效、Harris评分及并发症发生情况。结果：与对照组比较，观察组术后下床活动早，住院时间短，骨折愈合快，Harris评分高(P＜0.05)。优良率观察组为96.4%，明显高于对照组，差异有统计学意义(χ2=4.95， P＜0.05)。观察组术后骨不连、骨折不愈合及股骨头缺血性坏死等并发症的发生率低于对照组(P＜0.05)。结论：桃红四物汤辅助手术治疗股骨颈骨折疗效确切，比单纯手术治疗效果好，能缩短住院时间，且具有患者下床活动时间早、骨折愈合快、并发症少等优点。
Abstract:
Objective: To verify clinical effects of surgery and supplementary TaoHong SiWuTang for transcervical fracture. Method: Fifty-six patients were randomly divided into observation group and control group equally.Both groups received internal fixation with hollow screw, after the surgery observation group were also given with modified TaoHong SiWuTang, Changes of complications, curative effects and Harris scale of both groups were compared. Result: Compared with control group, observation group demonstrated exercise earlier, shorter hospitalization time, rapid recovery and high Harris scale (P＜0.05). Excellence rate of observation group was 96.4%, obviously superior to control group and the difference showed statistical meaning (χ2=4.95，P＜ 0.05). Compared with control group, the incidences of complications after operation such as nonunion of bone or bone fracture, ischemic necrosis of femoral head in observation group were lower than control group (P＜0.05). Conclusion:TaoHong SiWuTang combined with surgery for transcervical fracture are more effective than surgery only, which can shorten the hospitalization time and have the advantages of patients exercising earlier, rapid recovery and fewer complications.

参考文献/References:

［1］ 胥少汀，葛宝丰，徐印坎.实用骨科学［M］.3 版.北京：人民军医出版社，2005：708-711. ［2］ 查三红，王戟森.空心加压螺纹钉治疗股骨颈骨折 98 例［J］.九江医学，2009，24(4)：19-20. ［3］ 陈行灿.中西医结合治疗股骨颈骨折患者 32 例疗效观察［J］.中国医药指南，2010，8(8)：92-93. ［4］ 胡东山.空心钉内固定治疗股骨颈骨折［J］.临床骨科杂志，2008，11(3)：282. ［5］ 丁艳杰，张前德.桃红四物汤新解［J］.黑龙江中医药，2010，39(2)：5l-52. ［6］ 卫穗转，张自强，祁文兵，等.桃红四物汤在骨科临床中的应用［J］.中医临床研究，2011，3(16)：89-90. ［7］ 都仁斌.中西医结合治疗老年股骨颈骨折 82 例［J］.中国民间疗法，2011，19(5)：62-63. ［8］ 马斌祥，王文政，邓友章.电针加桃红四物汤加减方治疗胫骨平台骨折术后膝关节肿胀［J］.甘肃中医，2011，24（2）：37-38.

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备注/Memo

备注/Memo:
收稿日期：2012-07-27 作者简介：李生(1971—)，男，副主任医师。研究方向：骨科常见病的中西医诊治。
更新日期/Last Update: 1900-01-01