| Objective:In this project,the clinical observation of Zhang’s Dahong Qili San on the effect of PFNA occult blood loss after PFNA for senile intertrochanteric fractures was conducted to evaluate the effect of Zhang’s Dahong Qili San on senile intertrochanteric fractures occult postoperative PFNA.To evaluate the effect of Zhang’s Dahongqili powder on latent blood loss after PFNA for senile intertrochanteric fracture,and to provide related data for TCM treatment of latent blood loss after PFNA for intertrochanteric fracture.Method:A collection of 60 elderly patients with intertrochanteric fractures who were hospitalized in the Department of Orthopedics,Zhangzhou City Hospital of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine from December 2019 to December 2020,were grouped using a random number table: 30 cases were the control group: routine perioperative surgery Phase treatment combined with PNFA surgery;30 cases were the experimental group: on the basis of the control group,combined with Zhangshi Dahong Qili San orally.Evaluate data such as HGB,HCT,TCM symptom score,perioperative apparent blood loss,and perioperative hidden blood loss before operation,1,5,and 7 days after operation.SPSS20.0 software performs statistical analysis and draws a conclusion.Result:1.Comparison of general data: there was no statistical significance in gender,age,height,weight,surgical area and other general data between the experimental group and the control group(P>0.05),indicating comparability.2.There was no statistically significant difference in HGB,HCT specimens and TCM syndrome scores between the two groups before treatment(P>0.05),indicating comparability.HGB and HCT levels: There was no statistically significant difference between the two groups 1 to 3 days after treatment(P>0.05).There was no significant difference between the two groups from admission to the 1st day after surgery,but there was a statistically significant difference between the two groups from the 3rd day after surgery to the day before discharge(P<0.05).The difference between 3 days after treatment and before discharge was statistically significant(P<0.05).Comparison between groups: There was no statistical significance in TCM clinical syndrome scores of liver and kidney deficiency and deficiency of qi and blood between the two groups before treatment(P>0.05),that is,TCM clinical syndrome scores of the two groups were identical before treatment.After treatment,the TCM syndrome scores of liver and kidney deficiency and Qi and blood deficiency in experimental group were higher than those in control group,with statistical significance(P<0.05).3.Comparison of blood loss: Intraoperative blood loss and latent blood loss in the two groups were in line with normal distribution,and t test was used.There was no significant difference in the amount of intraoperative blood loss between the experimental group and the control group(P<0.05).No postoperative blood transfusion was given to the participants in this study,and the amount of latent blood loss in the experimental group was significantly lower than that in the control group,with statistical significance(P<0.05).4.Therapeutic effect of TCM syndromes Control group: 0 cases(0%)were cured clinically,12 cases(40%)were significantly effective,18 cases(60.00%)were effective,0cases(0%)were ineffective,and the total effective rate was 100%;In the treatment group,4cases were clinically controlled(0%),9 cases were significantly effective(10%),24 cases were effective(80%),3 cases were ineffective(10%),and the total effective rate was 90%.The total effective rate was compared between groups,and the difference was statistically significant(P<0.05),indicating that the efficacy of the experimental group was better than that of the control group.Conclusion:Zhangshi Dahong Qili Powder reduce postoperative hidden blood loss and relieve postoperative anemia symptoms in patients with senile intertrochanteric fractures after PFNA. |
PDF Full Text Request