【摘要】：目的：評(píng)估平樂正骨手法結(jié)合DHS治療老年骨質(zhì)疏松性股骨粗隆間骨折的綜合療效,為該術(shù)式的臨床推廣提供客觀臨床依據(jù),同時(shí)為中醫(yī)正骨手法在大關(guān)節(jié)骨折的應(yīng)用探索提供經(jīng)驗(yàn)。方法收集在廣州中醫(yī)藥大學(xué)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(zhǔn)入條件的老年性股骨粗隆間骨折患者共40例。隨機(jī)分為2組：實(shí)驗(yàn)組：采用平樂手法與改良DHS術(shù)式結(jié)合治療,共20例；對(duì)照組：采用傳統(tǒng)DHS術(shù)式治療,共20例；觀察記錄40例患者手術(shù)時(shí)間、出血量、切口長度、髖關(guān)節(jié)Harris評(píng)分、膝關(guān)節(jié)Lyshonlm評(píng)分。應(yīng)用SPSS19.0軟件分析數(shù)據(jù)。結(jié)果實(shí)驗(yàn)組與對(duì)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(jì)學(xué)意義；實(shí)驗(yàn)組與對(duì)照組在手術(shù)時(shí)間、切口長度及術(shù)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(jì)學(xué)意義；實(shí)驗(yàn)組與對(duì)照組在手術(shù)總時(shí)間、髖關(guān)節(jié)Harris評(píng)分、膝關(guān)節(jié)Lyshonlm評(píng)分、骨折愈合情況及Garden對(duì)線指數(shù)之間的比較,P值0.05,差異無統(tǒng)計(jì)學(xué)意義。結(jié)論實(shí)驗(yàn)組與對(duì)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(shí)驗(yàn)組與對(duì)照組相比,切口暴露時(shí)間明顯縮短,出血量明顯減少；中醫(yī)正骨手法在大關(guān)節(jié)手術(shù)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(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R687.3

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