加味八珍汤对老年髋部骨折愈合的影响

柳岩，董智勇，王晓琼，蔡锦成，叶会跃，吴云强

(瑞安市中医院骨伤二科，浙江 瑞安 325000)

摘要：目的评价加味八珍汤对老年髋部骨折愈合的临床疗效。方法行单侧老年髋部骨折手术内固定的病人60例，将其随机分为治疗组和对照组，每组30例。围手术期间治疗组服用加味八珍汤，对照组服用力蜚能(多糖铁复合物胶囊),观察2组在骨痂生长、骨折临床愈合时间及临床疗效方面的疗效。结果治疗组骨痂生长优于对照组(P<0.05)，治疗组缩短骨折临床愈合时间优于对照组(P<0.05)；治疗组有效率为93.3%(28/30)，对照组有效率83.3%(25/30)，差异有统计学意义(χ2=4.348，P<0.05)。结论加味八珍汤对老年髋部骨折气血两虚证的病人，可使气血旺盛，筋骨得养，有利于骨折愈合。

关键词：八珍汤；老年人；髋部骨折；骨折愈合；内固定

DOI:10.13463/j.cnki.jlzyy.2015.03.015

中图分类号：R683.6文献标志码： A

文章编号：1003-5699(2015)03-0261-04

基金项目:浙江省瑞安市科技计划项目(201302026)。

作者简介:柳岩(1969-)，男，医学硕士，副主任医师，主要从事中医骨伤科疾病临床研究。

收稿日期:(责任编辑：张晔2014-09-30)

Healing effect of Bazhen decoction on hip fracture in the elderly

LIU Yan,DONG Zhiyong,WANG Xiaoqiong,CAI Jincheng,YE Huiyue,WU Yunqiang

(Second Department of Bone Traumatology,Ruian Hospital of Traditional Chinese Medicine,

Ruian 325000,Zhejiang Province,China)

Abstract:ObjectiveTo evaluate the clinical effect of Jiawei Bazhen decoction for healing in the elderly hip fracture.MethodsUnderwent unilateral operation of internal fixation in elderly hip fracture patients’ 60 cases.It will be randomly divided into treatment group and control group,30 people each group.During the peri operation treatment group taking Bazhen decoction,the control group taking Niferex (Iron Polysaccharide Complex Capsules),the two groups were observed in callus growth,healing time and the clinical curative effect of fracture situation.ResultsThe treatment group’s growth of callus was superior to the control group (P<0.05);the treatment group to shorten the clinical healing time of fracture was better than that of the control group (P<0.05);the effective rate of treatment group was 93.3% (28/30),the effective rate of control group 83.3% (25/30),the difference was statistically significant (χ2=4.348,P<0.05).ConclusionDeficiency of qi and blood patients healed by Jiawei Bazhen decoction on senile hip fracture,make the blood and bone strong,bones have conducive to fracture healing.

Keywords:Bazhen Decoction;senile;hip fracture;fracture healing;internal fixation

我国已进入老龄化社会，老年髋部骨折越来越多，并伴有不同程度的骨质疏松，影响骨折愈合。骨折部位的血液供应和软组织的损伤程度是骨折愈合的重要因素[1]，但由于创伤、术中出血造成气血亏虚，不利于机体恢复[2]，并影响骨折端血液的供应，从而影响骨折愈合。中药内服、外用是中医骨伤科的特色所在，能够改善全身和局部的血液循环而对骨折愈合有促进作用[3]。对于骨折断端的血供，钙盐沉积的加速，骨痂的形成都有较好的促进作用[4]。笔者自2013年1月—2014年5月，治疗老年髋部骨折手术内固定60例，随机分为2组，每组30例，进行对比观察。治疗组服用加味八珍汤,对照组服用力蜚能(多糖铁复合物胶囊)。……