| ObjectiveTo investigate the effectiveness of the use of Supplementing Qi and a ctivating blood circulation method on femoral intertrochanteric fracture in peri-operative blood volume.Methods2014 December to 2016 January, selected from our hospital in Zhuhai,Gu angdong province, hospital inpatientorthopedic,consistent with femoral int ertrochanteric fracture patient, after admission combined with four diagno stic methods of TCM, fracture for Qi-deficiency and blood-stasis syndromeb ased on syndrome differentiation of traditional Chinese medicine;excludea bsolute contraindications, and for PFN-A fixed-line operation in 40 patien ts as subjects.According to the order of admission, randomly, accordance wi th the proportions were randomly divided into two groups, group(group of s upplementing Qi and activating boold circulation) and control group(treat ment group),20 patients in each group.Test group in after patients began taking the effect of Yiqi huoxue decoction, and undergoing elective PFN-A, starting 1th day after taking decoction of replenishing Qi and activating blood to discharge, two groups in this process use the same clinical treat ment;conventional treatment of control group patients during perioperativ e period,no using replenishing Qi and activating blood decoction, treatmen t process also to discharge, two groups of patients with postoperative reh abilitation programmes the same. Record patients height, weight, age and gen eral information;record Hb、HCT、operation time、the legth of cut、the met hods of surgery、blood loss of the operation、recordand calculate the 1th、 3、10days after operation in patients with Hb and HCT, and count the the hi dden boold loss;also recorded two sets of hospital time and costs the num ber of blood transfusions, record postoperative VAS scores every day withi n 10 days after surgery, comparative and analysis of difference between th e two groups.Results1. Two groups level of preoperatively and postoperatively the lth day of HCT, Hb and their level of 3rd and 10th day after Hb, HCT, occult blood d ifferences were statistical significance(P<0.05);two groups of their pos toperative lth day Hb, HCT, occult blood loss comparedwith the 3th day had not statistical significance(P>0.05); two group Hb, HCT, occult blood loss after different time periods in comparison fund that mean values at diffe rent times in different differences were statistical significance (P<0.0 5);with intervention at different time on Hb no interaction(P>0.05); but occult boold loss between the two groups found different points in time t he impact of treatment on the level of the two groups are different, the d ifference had statiscally significant(P<0.05);test group Hb,HCT and rest oration of boold volume is higher than that of control group.2. No lth to 4th day after two groups VAS score had not statistical s ignificance(P>0.05);5th postoperative day to 7th day VAS scores compared had statistical significance(P<0.05), test group is higher than the contr ol group;the differences to 10th days VAS score between two group had no statistical significance (P>0.05).3. Two group of blood transfusion rate differences had no statistical significance(P>0.05), compared with two groups of drug costs、the number o f days in the hospital had statiscally significant(P<0.05), the test grou p more lower,hospital total cost between the two group were no statistic ally significant(P>0.05).ConclusionPerioperative use of method of invigorating Qi and activating blood circulation embodies the characteristics of syndrome differentiation of traditional chinese medicine, PFNA of intertrochanteric fracture, less blee dingduring operation, but after a significant decline in the time period H b, HCT,that is hidden blood loss,it is the main cause of peri-operative bl ood volume lost. Not much difference between the two sets of recessive ble eding,supplementing Qi and activating blood circulation method does not r educe the amount of hidden blood loss in patients with application of met hod of invigorating Qi and activating blood circulation can facilitate th eir hemoglobin, hematocrit, blood volume recovery, and have the overall bloo d volume in patients with postoperative recovery ahead recessive bleeding decreased and stopped early, enabling patient rehabilitation. Supplementing Qi and activating blood group compared to the control group,in certain pe riods of less postoperative pain intensity, application of method of invig orating Qi and activating blood circulation reduces the patient’s length of stay, reduce hospital costs. |
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