穴位按摩联合补肾活血方对急性期髋部骨折术后康复的影响

目的:探讨穴位按摩联合补肾活血方对急性期髋部骨折术后骨密度及血流变学的影响。方法:选取2018年1月至2019年12月河北中医学院附属医院收治的髋部骨折患者60例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组30例。对照组采用单纯手术治疗,观察组在对照组的基础上采用穴位按摩联合补肾活血方治疗,比较2组患者治疗前后骨密度及血流变学指标水平。结果:术后1 d、10 d,2组eNOS、NO较治疗前均降低(P<0.05);术后10 d观察组下降较对照组明显,组间比较差异有统计学意义(P<0.05)。术后10 d,2组WBV、PV、EAI、IR较术前均降低,而EDI、EET均升高(均P<0.05),组间比较差异有统计学意义(P<0.05)。术后4个月,观察组骨密度明显高于对照组,组间比较差异有统计学意义(P<0.05);观察组总有效率为90.00%,对照组为66.67%,2组比较差异有统计学意义(P<0.05)。结论:穴位按摩联合补肾活血方可较好地增加急性期髋部骨折术后患者的骨密度、降低血液黏度,减少DVT发生的风险。

Effects of Acupoint Massage Combined with Bushen Huoxue Formula on Postoperative Rehabilitation of Acute Hip Fracture

To investigate the effects of acupoint massage combined with Bushen Huoxue Formula on postoperative bone mineral density and hemorheology of acute hip fracture. Methods:A total of 60 hip fractures treated in Affiliated Hospital of Hebei University of Traditional Chinese Medicine from January 2018 to December 2019 were selected as the study objects and were divided into a control group and an observation group according to random number table, with 30 cases in each group. The control group was treated with surgery alone and the observation group was treated with acupoint massage combined with Bushen Huoxue Formula on the basis of the control group. Bone density and hemorheology were compared between the 2 groups. Results:At 4 months after operation, the bone density in the observation group was significantly higher than that in the control group, and there was a statistically significant difference between the groups(P<0.05); eNOS and NO in both groups were lower than those before treatment at 1 and 10 days postoperatively(P<0.05); the observation group decreased significantly after 10 days after operation compared with the control group, and the difference between the groups was statistically significant(P<0.05); WBV, PV, EAI, and IR in both groups were lower than those before operation and EDI, EET was increased(P<0.05), and the difference between the groups was statistically significant(P<0.05); the total effective rate of the observation group was 90.00% at 4 months after operation, and the total effective rate of the control group was 66.67%. The effective rate was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion:Acupoint massage combined with Bushen Huoxue Formula can better increase bone density, reduce blood viscosity and the risk of DVT of postoperative patients with acute hip fracture.