特制接骨丸促进股骨颈骨折愈合的临床疗效分析

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1、摘要C1inica1observationonthetherapeuticeffectofTezhiJiegupillonpromotingfracturehealingChengXinsheng(OrthopaedicsandTraumaofTraditionalChineseMedicine)DirectedbyLiuYouwenAbstractObjectiveTheaimofthestudywastoverifyclinicalobservationonthetherapeuticeffectofTezhiJi

2、eguWanonpromotingfracturehealing，andinvestigatethemechanismofthemthroughcomparisonstudyofanalgesia，callusgrowthofthefracturepartandhipjointfunctionrecovery.MethodsSixtypatientswithfreshfractureoffemoralneckwereselectedfromLuoyangBonesettingHospitalofHenanprovinc

3、efromApril2011toOctober2011.Afterclosedreductionandtheinternalfixationwiththreehollownails,Thepatientswererandomlydividedintotwogroups,onefortreatmentgroupwhichwastreatedbyTezhiJiegupill，theotherforcontrolgroupwhichwastreatedbyBonepeptidetablet.Thetreatmentperio

4、dsofthesetwogroupwerebothsixmonths.Theanalgesia,callusgrowthofthefracturepartandhipjointfunctionrecoverywouldbeobservedaftertreating.Results1.Thereweresignificantdifferencesbetweentwogroupsonanalgesiatimeofthefracturepart，andthetreatmentgrouphadabettereffectthan

5、controlgroup;2.Thetreatmentgroupgotbettereffortoncallusgrowthofthefracturepartonthesixthmonth;3.Thetreatmentgroupwaseffectiveinclinicaleffectofhipjointfunctionrecoverybetterthancontrolgroup;4.Therewerenodifferencesinbloodroutine,liverandkidneyfunctionsbeforeoraf

6、terthetreatmentofTezhiJiegupill，andallergicandadversereactiondidnotoccurduringtreatment.Conclusion1.MechanismQiandBloodnourishingliverandkidneytherapyistheconstructionprincipiaoftheTezhiJiegupill:2.TezhiJiegupillcanpromoteanalgesia，callusgrowthofthefractureparta

7、ndhipjointfunctionrecoveryandfracturehealing:3.TezhiJiegupillwasbetterthanBonepeptidetabletKeyWordsTraditionalChineseMedicine;fracturehea1ing;c1inicalstudy3前言前言股骨颈骨折系指股骨头下至股骨颈基底部之间的骨折，是临床工作中常[1]见骨折之一,约占全身骨折的3.58%，多见于50～70岁的老年人。随着高能量损伤的增长以及人口老龄化进程的加快，股骨颈骨折发病率呈现迅猛

8、增[2]长势头。临床治疗难度大，属“尚未被解决的骨折”。对于GardenI、Ⅱ型骨折的病人，以往采取保守治疗方法：石膏固定治疗、牵引治疗及穿防旋鞋制动等。由于骨折断端没有进行稳定的复位，患者需要长期卧床，大多数老年患者体质较差，合并有其它慢性疾病，患肢的长期制动，不但进一步增加发生褥疮、坠积性肺炎、深静脉血栓(DVT)等并发症[3