摘要
目的:探讨中医正骨手法结合组合式外固定器治疗高危风险老人股骨粗隆间骨折的临床疗效。方法:将2015年5月2016年12月于我院确诊为股骨粗隆间骨折且经手术麻醉评估高危风险的55例患者纳入研究,均在排除手术禁忌症后采用中医正骨手法结合组合式外固定器治疗。观察患者下地负重时间、手术时间、住院时间、骨折愈合时间情况,并对患者进行持续24个月随访,依据Harris评分结果评估临床疗效。结果:治疗后,所有患者均顺利完成手术,患者下地负重时间(47.65±5.83)天、手术时间(40.94±6.26)分、住院时间(11.71±2.69)天、骨折愈合时间(9.47±1.81)周;治疗24个月后患者关节功能优、良、可、差例数分别为34、18、2、1例,总优良率94.55%(52/55)。结论:中医正骨手法结合组合式外固定器治疗高危风险老人股骨粗隆间骨折疗效显著,术后恢复快,优于单用西医治疗,值得推广。
Objective： To explore the clinical effect of Traditional Chinese Medicine orthopedic technique combined with external fixator in the treatment of intertrochanteric fractures of the elderly at high risk. Methods： From May 2015 to December 2016 in our hospital diagnosed as intertrochanteric fractures of the femur and anesthesia assessment of high risk of 55 patients were included in the study,were excluded from the practice of contraindications after the use of Traditional Chinese Medicine orthopedic combination of modular external fixator treatment. The time of implantation,operation time,hospitalization time and time of fracture healing were observed. The patients were followed up for 24 months and the clinical curative effect was evaluated according to Harris score. Results： After treatment,all patients underwent surgery,the time of underweight loading（ 47. 65 ± 5. 83） days,the operation time（ 40. 94 ± 6. 26）,the hospitalization time（ 11. 71 ± 2. 69） days,the fracture healing time（ 9. 47 ± 1. 81） weeks. The total excellent and good rate was 94. 55%（ 52/55） after 24 months of treatment. Conclusion： Traditional Chinese Medicine orthopedic tec hnique combined with external fixator for the treatment of high risk of intertrochanteric fractures of the elderly significantly,quick recovery,better than the use of Western medicine alone,it is worth promoting.
出处
《江西中医药大学学报》
2017年第6期35-37,共3页
Journal of Jiangxi University of Chinese Medicine
基金
江西省卫计委科研计划项目(2015A205)
关键词
中医正骨手法
组合式外固定器
高危风险
股骨粗隆间骨折
HARRIS评分
Traditional Chinese Medicine Orthopedic Technique
Combined External Fixator
High Risk
Intertrochanteric Fracture
Harris Score
