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| 金天格辅助治疗老年股骨转子周围骨折的疗效分析 |
| Efficacy analysis of adjuvant therapy of intertrochanteric fractures in elderly with Jintiange |
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| DOI：10.3969/j.issn.1006.7108.2015.12.019 |
| 中文关键词: 髋骨折 金天格胶囊 老年人 骨质疏松 |
| 英文关键词:Hip fracture Jintiange capsule The elderly Osteoporosis |
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| 中文摘要: |
| 目的 评价老年股骨转子周围骨折术后使用金天格胶囊辅助健骨治疗的疗效。方法 选取股骨近端防旋髓内钉治疗的老年股骨转子周围骨折的患者80例，随机分为A、B组各40例，研究组采用金天格胶囊联合阿仑膦酸钠，对照组单独采用阿仑膦酸钠口服,连续观察12个月；评价治疗后的疼痛缓解情况和髋部骨密度（BMD)变化，随访复查X光平片、CT评定骨折愈合情况。以视觉模拟疼痛评分（VAS)方法对患者治疗后3、6个月疼痛疗效进行评估，并在治疗后6、12个月测量髓部骨密度（BMD),在术后3、6个月评定骨折愈合情况。结果 两组治疗后VAS评分、髋部BMD值存在差异（P < 0. 05),研究组优于对照组，研究组骨折愈合率（97.4% )高于对照组（94.5% )，P<0.05。结论 联合应用金天格胶囊能显著改善老年股骨转子周围骨折术后疼痛，增加髋部BMD值，改善骨折愈合。 |
| 英文摘要: |
| Objective To evaluate the efficacy of Jintiange capsule on postoperative intertrochanteric fractures in the elderly. Methods Eighty patients who had intertrochanteric fractures and had proximal femoral nail anti-rotation treatment were selected. They were randomly divided into group A (40 cases) and group B (40 cases). The patients in study group received Jintiange and alendronate, and the patients in the control group received alendronate alone. The observation lasted for 12 months. The changes of pain and bone mineral density (BMD) of the hip were evaluated. X-ray plain film and CT were assessed to follow-up the fracture healing. Visual analog pain scale (VAS) was assessed to evaluate efficacy of the treatment after 3 and 6 months. BMD of the hip was assessed at 3 and 6 months after surgery. Results After treatment，there was difference in VAS scores and hip BMD (P < 0. 05) between the two groups. The healing rate in the study group (97. 4% ) was higher than that in the control group (94. 5% , P < 0. 05). Conclusion The combination with Jintiange capsule can significantly relieve postoperative pain after intertrochanteric fractures in elderly, increase hip BMD, and improve fracture healing. |
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