【摘要】：目的：評估平樂正骨手法結合DHS治療老年骨質疏松性股骨粗隆間骨折的綜合療效,為該術式的臨床推廣提供客觀臨床依據(jù),同時為中醫(yī)正骨手法在大關節(jié)骨折的應用探索提供經(jīng)驗。方法收集在廣州中醫(yī)藥大學附屬深圳平樂骨傷科醫(yī)院老年骨科住院部住院且符合準入條件的老年性股骨粗隆間骨折患者共40例。隨機分為2組：實驗組：采用平樂手法與改良DHS術式結合治療,共20例；對照組：采用傳統(tǒng)DHS術式治療,共20例；觀察記錄40例患者手術時間、出血量、切口長度、髖關節(jié)Harris評分、膝關節(jié)Lyshonlm評分。應用SPSS19.0軟件分析數(shù)據(jù)。結果實驗組與對照組在受傷前Barthel指數(shù)、骨折分型、性別及年齡方面差異分布上無統(tǒng)計學意義；實驗組與對照組在手術時間、切口長度及術中出血量分別為70.35±14.80、9.15±1.08、220.00+95.14與101.50±26.36、12.00±1.48、344.00+139.10,P0.05,具有統(tǒng)計學意義；實驗組與對照組在手術總時間、髖關節(jié)Harris評分、膝關節(jié)Lyshonlm評分、骨折愈合情況及Garden對線指數(shù)之間的比較,P值0.05,差異無統(tǒng)計學意義。結論實驗組與對照組在治療老年性股骨粗隆間骨折均取得了良好的療效；實驗組與對照組相比,切口暴露時間明顯縮短,出血量明顯減少；中醫(yī)正骨手法在大關節(jié)手術中也能起到重要作用。
[Abstract]:Objective: to evaluate the comprehensive effect of Pingle Zhenggu manipulation combined with DHS in the treatment of senile osteoporotic femoral intertrochanteric fracture and to provide objective clinical basis for its clinical popularization. At the same time, it provides experience for the application of orthopaedic manipulation in the fracture of large joint. Methods A total of 40 cases of senile intertrochanteric fracture of femur in Shenzhen Pingle Orthopaedics Hospital affiliated to Guangzhou University of traditional Chinese Medicine were collected. Two groups were randomly divided into two groups: the experimental group (n = 20) was treated with pingle manipulation combined with modified DHS operation (n = 20), the control group (n = 20) was treated with traditional DHS operation (n = 20), the operation time, blood loss, incision length of 40 patients were observed and recorded. Harris score of hip joint and Lyshonlm score of knee joint. SPSS19.0 software is used to analyze the data. Results there was no significant difference in Barthel index, fracture classification, sex and age between the experimental group and the control group before injury, and the time of operation between the experimental group and the control group. The length of incision and the amount of intraoperative bleeding were 70.35 鹵14.80,9.15 鹵1.08220.0095.14 and 101.50 鹵26.36 鹵12.00 鹵1.48344.00 139.10m P0.05respectively. There was no significant difference between fracture healing and Garden linear index (P = 0.05). Conclusion both the experimental group and the control group have achieved good results in the treatment of senile intertrochanteric fracture of femur, the time of incision exposure and the amount of blood loss in the experimental group are significantly shorter than those in the control group. Traditional Chinese medicine bone manipulation can also play an important role in major joint surgery.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R687.3

【參考文獻】

相關期刊論文 前8條

1 江正康,吳小軍,廖永德,熊俊林;折斷式加壓螺紋釘治療老年人股骨粗隆間骨折[J];贛南醫(yī)學院學報;2003年02期

2 毛敦;;高齡髖部骨折的臨床分析[J];中國骨傷;2009年07期

3 康維杰;夏晨波;鄧勇軍;張居適;;老年人股骨粗隆間骨折的治療選擇[J];中國骨傷;2012年01期

4 王福權;談髖部骨折[J];中華骨科雜志;1994年03期

5 范衛(wèi)民,陶松年,王道新,殷國勇,ＪＪＦｉｃａｔ;四種股骨轉子間骨折內固定物的力學對比及療效評價[J];中華骨科雜志;1996年04期

6 葉韶暉,陳鴻輝,梁偉國,王文,莫子丹;動力髁螺釘在股骨粗隆周圍骨折中的應用[J];中國矯形外科雜志;2002年10期

7 張衛(wèi)紅;張軍波;;改良微創(chuàng)DHS內固定治療老年股骨粗隆間骨折480例分析[J];中國骨傷;2013年04期

8 陳明華;郝國彩;;中國人口老齡化地區(qū)差異分解及影響因素研究[J];中國人口.資源與環(huán)境;2014年04期

，

本文編號：2275758