续骨活血汤对股骨颈骨折患者空心螺钉内固定术后疗效及生活质量的影响

目的 评价续骨活血汤对股骨颈骨折患者空心螺钉内固定术后的疗效及对患者生活质量的影响.方法 将符合入选标准的120例股骨颈骨折患者按随机数字表法分为2组,每组60例.对照组给予空心螺钉内固定术治疗,观察组在对照组基础上于术后第2天口服续骨活血汤.2组均于术后12个月行Harris髋关节功能评分,采用SF-36量表评价患者生活质量,观察临床疗效.结果 观察组优良率为88.3%(53/60)、对照组为71.7%(43/60),2组比较差异有统计学意义(χ2=5.208,P=0.022).术后12个月,观察组疼痛[(41.4±7.3)分比(32.2±5.7)分,t=7.738]、关节功能[(45.7±6.2)分比(36.3±7.2)分,t=7.701]、关节活动度[(5.0±0.8)分比(3.1±0.8)分,t=13.115]及Harris总分[(87.7±4.6)分比(65.4±5.4)分,t=24.461]高于对照组(P<0.001);观察组躯体功能[(83.1±7.2)分比(78.8±14.2)分,t=2.095]、躯体疼痛[(82.1±9.9)分比(67.7±11.1)分,t=7.524]、整体健康[(76.6±10.3)分比(68.8±14.4)分,t=3.401]、活力[(81.1±7.9)分比(76.6±11.2)分,t=2.549]评分高于对照组(P<0.05或P<0.01).结论 续骨活血汤可促进股骨颈骨折患者空心螺钉内固定术后髋关节功能的恢复,提高生活质量.

Effect of Xugu-Huoxue decoction for the patients with femoral neck fracture after internal fixation with hollow screw fixation

Objective To evaluate effect of Xugu-Huoxue decoction on the treatment of patients with femoral neck fracture after internal fixation with hollow screw fixation. Methods A total of 120 patients with femoral neck fracture were randomly divided into the treatment group and the control group according to the inclusion criteria, 60 patients in each group. The control group was treated with cannulated screw internal fixation; the observation group was treated with Xugu-Huoxue decoction at the second day after the operation. Both groups were assessed with the Harris hip function score at the end of 12 months after operation. The SF-36 scale was used to evaluate the quality of life of the patients. Results The total effect rate of the observation group was 88.3% (53/60) and the control group was 71.7% (43/60). The difference between the 2 groups was statistically significant (χ2=5.208, P=0.022). At 12 months after surgery, the pain (41.4 ± 7.3 vs. 32.2 ± 5.7, t=7.738), the joint function (45.7 ± 6.2 vs. 36.3 ± 7.2, t=7.701), joint mobility (5.0 ± 0.8 vs. 3.1 ± 0.8, t=13.115), and the total score of Harris (87.7 ± 4.6 vs. 65.4 ± 5.4, t=24.461) in the observation group were significantly higher than those in the control group (P<0.001). The physical function (83.1 ± 7.2 vs. 78.8 ±14.2, t=2.095), body pain (82.1 ± 9.9 vs. 67.7 ± 11.1, t=7.524), the overall health (76.6 ± 10.3 vs. 68.8 ± 14.4, t=3.401) and activity (81.1 ± 7.9 vs. 76.6 ± 11.2, t=2.549) in the observation group were higher than those in the control group (P<0.05 or P<0.01). Conclusions The Xugu-Huoxue decoction could improve the prognosis of patients with femoral neck fractures after cannulated screw fixation, promote the recovery of hip function and improve the quality of life.