血府逐瘀汤配合手术治疗股骨颈骨折临床研究

目的:观察血府逐瘀汤配合手术治疗股骨颈骨折的临床疗效。方法:选取本院2013年3月—2014年7月收治的股骨颈骨折患者84例,随机分为对照组和观察组,每组42例。术前,所有患者均接受行三维重建,所有患者均接受人工髋关节置换治疗,观察组在手术治疗的基础上加用血府逐瘀汤治疗。结果:Ⅳ型骨折的股骨头小凹最低点移位距离、股骨头中心移位距离及空间偏转角度均明显高于Ⅲ型、Ⅱ型,差异具有统计学意义(P0.05);观察组治疗后Harris评分明显优于对照组(P0.05);观察组住院时间及手术切口愈合时间短于对照组,差异具有统计学意义(P0.05)。结论:Garden分型存在一定局限性,应用三维重建技术,可更准确的对骨折空间移位情况进行评价,血府逐瘀汤配合手术治疗股骨颈骨折疗效显著,可显著缩短患者住院时间及手术切口愈合时间。

The Clinical Research into Femoral Neck Fracture Treated with Blood Stasis Expelling Decoction in Combination with Operation

Objective:To obseve the clinical curative effect of Blood Stasis Expelling Decoction in combination with operation on femoral neck fracture.Methods:Eighty-four patients with femoral neck fracture who were treated in our hospital between March 2013 and July 2014 were chosen as the research subjects,and randomly divided into the control group and the observation gToup,with 42 cases in each group.Before the operation,all the patients received three-dimensional reconstruction and total hip replacement,then the ones in the observation group were added Blood Stasis Expelling Decoction.Results:The lowest rock bottom shift distance of Type Ⅳ fractures of the femoral head fovea,the central shift distance and spatial deflection angle of femoral head were all significantly higher than those of type Ⅲ and type Ⅱ,and all the differences were statistically significant (P ＜ 0.05).After the treatment,the observation group's score was much better than that of the control group (P ＜ 0.05);Its time of hospitalization and the healing time of the incision were shorter than those of the control group,and all the differences were statistically significant (P ＜ 0.05).Conclusion:Garden typing has certain limitations,so using three-dimensional reconstruction technique can evaluate fracture displacement space more accurately.Blood Stasis Expelling Decoction in combination with operation has a remarkable clinical curative effect on femoral neck fracture,can significantly shorten the patients' hospitalization time and incision healing time.