补血祛瘀汤对老年股骨粗隆间骨折PFNA术隐性失血研究

发布时间：2018-07-13 14:30

【摘要】：研究目的:根据佛山市名中医丘青中教授30多年临床经验自拟方剂补血祛瘀汤用于PFNA术后治疗股骨粗隆间骨折(转子间骨折;IFF)导致隐性失血的疗效,探讨补血祛瘀汤对PFNA术治疗股骨粗隆间骨折围手术期隐性失血的影响,为隐性失血的预防及治疗提供参考。研究方法:本研究采纳随机数字法将40名符合本研究中相关标准的患者分为中药组、对照组两组,每组20个,中药组在入院后至术后第5d服用补血祛瘀汤,对照组只作一般常规术后抗感染、补液处理等处理,入院后第ld,术后第1、3、5d复查血常规,记下血红蛋白及红细胞压积,用Gross法计算出隐性失血量,采用Harris髋关节评分系统对术后1周、2周、1月患侧髋关节进行评分。研究结果:(1)与对照组相比,中药组术后第3天,术后第5天血红蛋白较高,差异存在统计学意义(P0.05)。(2)与对照组相比,中药组术后第3天,术后第5天血红细胞压积(Hct)较高,差异存在统计学意义(P0.05)。(3)与对照组对比,在Harris髋关节评分评分中,补血祛瘀汤对髋关节功能恢复无统计学意义(P0.05)(4)与对照组相比,中药组术后第3天,术后第5天隐性失血量减少,差异存在统计学意义(P0.05)。研究结论:(1)PFNA术治疗老年股骨粗隆间骨折可导致发生大量的隐性失血。(2)补血祛瘀汤能有效地提高血红蛋白量,减少隐性失血。
[Abstract]:Objective: according to more than 30 years clinical experience of Professor Qiu Qing Zhong of Foshan City, the effect of self-made prescription Buxue Quyu decoction for treating recessive blood loss caused by intertrochanteric fracture of femur (IFF) after PFNA operation was studied. To explore the effect of Bu Xue Quyu decoction (BXQT) on recessive blood loss in perioperative period of femoral intertrochanteric fracture treated by PFNA, and to provide reference for prevention and treatment of recessive blood loss. Methods: in this study, 40 patients who met the relevant criteria in this study were randomly divided into traditional Chinese medicine group and control group with 20 in each group. The traditional Chinese medicine group was treated with Buxue Quyu decoction from admission to the 5th day after operation. The control group was only treated with general routine anti-infection and fluid resuscitation. The blood routine was re-examined on the first day of admission and the first 3th day after operation. Hemoglobin and hematocrit were recorded and recessive blood loss was calculated by Gross's method. Harris hip scoring system was used to evaluate the affected hip at 1 week, 2 weeks and 1 month after operation. Results: (1) compared with the control group, the hemoglobin in the Chinese medicine group was higher on the 3rd day and 5th day after operation (P0.05). (2), compared with the control group, the hematocrit (HCT) was higher in the traditional Chinese medicine group on the 3rd and 5th day after operation. The difference was statistically significant (P0.05). (3) compared with the control group. In the score of). (hip joint, there was no significant difference in the recovery of hip joint function by BXQYD (P0.05) (4) compared with the control group, the recessive blood loss decreased on the 3rd day and the 5th day after operation in the TCM group. The difference was statistically significant (P0.05). Conclusion: (1) PFNA can cause a large amount of recessive blood loss in the treatment of senile femoral intertrochanteric fracture. (2) Buxue Quyu decoction can effectively increase hemoglobin content and reduce recessive blood loss.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.9

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