發(fā)布時間：2018-01-29 22:08

  本文關(guān)鍵詞： 高齡股骨粗隆間骨折 PFNA 四物湯 隱性失血　出處：《南京中醫(yī)藥大學(xué)學(xué)報》2017年05期 　論文類型：期刊論文

【摘要】：目的觀察四物湯對高齡粗隆間骨折PFNA術(shù)后隱性失血情況的影響,為臨床應(yīng)用中醫(yī)藥解決高齡粗隆間骨折術(shù)后隱性失血問題提供參考。方法 48例高齡粗隆間骨折PFNA手術(shù)患者,按患者術(shù)后是否口服中藥四物湯分為治療組和對照組,治療組在常規(guī)抗感染、對癥治療以及飲食指導(dǎo)等基礎(chǔ)上,從術(shù)后第3天開始連續(xù)口服四物湯湯劑10d。觀察并記錄所有患者身高、體質(zhì)量、術(shù)中及術(shù)后顯性失血量;檢測并記錄治療前后血紅蛋白(Hb)和紅細(xì)胞比容(HCT)含量,應(yīng)用Gross方程計算紅細(xì)胞容量,進(jìn)而推算出隱性失血量。結(jié)果治療后治療組Hb、HCT含量明顯提高,隱形失血量明顯改善(P0.01),優(yōu)于對照組(P0.05)。結(jié)論四物湯可以改善高齡股骨粗隆間骨折患者PFNA術(shù)后隱性失血狀況。
[Abstract]:Objective to observe the effect of Siwu decoction on recessive blood loss after PFNA in aged patients with intertrochanteric fracture. Methods 48 elderly patients with intertrochanteric fracture underwent PFNA operation. The patients were divided into treatment group and control group according to whether or not they took oral Chinese medicine Siwu decoction after operation. The treatment group was based on routine anti-infection, symptomatic treatment and diet guidance. From the third day after operation, Siwutang decoction was taken orally continuously for 10 days. The height, body mass, apparent blood loss during and after operation were observed and recorded. The contents of hemoglobin (HB) and erythrocyte volume (HCT) were measured and recorded before and after treatment. The volume of erythrocyte was calculated by Gross equation, and the amount of recessive blood loss was calculated. The content of HCT was significantly increased, and the amount of invisible blood loss was significantly improved (P0.01). Conclusion Siwu decoction can improve the recessive blood loss after PFNA in elderly patients with intertrochanteric fracture of femur.
【作者單位】： 廣州市中西醫(yī)結(jié)合醫(yī)院骨傷科;
【基金】：廣東省中醫(yī)藥局科研基金計劃(20141228)
【分類號】：R274.9
【正文快照】： PFNA現(xiàn)已成為治療高齡股骨粗隆間骨折的一種有效可行的手術(shù)方法,但有關(guān)PFNA術(shù)后隱性失血情況臨床報道甚少,隱性失血是PFNA術(shù)后貧血的重要原因之一,直接影響到手術(shù)的成敗[1-5]。經(jīng)過臨床研究發(fā)現(xiàn),補血中藥方劑四物湯對高齡PFNA術(shù)后患者隱性失血有較好的恢復(fù)作用,這將為高齡股骨

【相似文獻(xiàn)】

相關(guān)期刊論文 前1條

1 鮑啟忠;王曉桐;;參蒼白術(shù)散加減配合低分子肝素鈣預(yù)防高齡粗隆間骨折術(shù)后DVT的療效觀察[J];中國醫(yī)學(xué)創(chuàng)新;2012年26期

，

本文編號：1474471