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| Clinical observation of combined external fixator combined with Fuyuan Huoxue Decoction in the treatment of elderly high-risk patients with proximal humerus fractures#br# |
| ZHANG Yili1 TIAN Yafeng2 DONG Junge2 YANG Mingshuai2 DONG Shaoyang1 XUE Pengyu1 CHEN Baosheng1 FAN Jinrui1 |
1.Graduate School, Hebei University of Chinese Medicine, Hebei Province, Shijiazhuang 050011, China;
2.the First Department of Orthopedics, Hebei Hospital of Traditional Chinese Medicine the First Affiliated Hospital of Hebei University of Chinese Medicine, Hebei Province, Shijiazhuang 050000, China |
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Abstract Objective To investigate the clinical effects of combined external fixator combined with Fuyuan Huoxue Decoction on the treatment of high-risk elderly patients with proximal humerus fractures. Methods A total of 60 elderly high risk patients with proximus humeraus fractures admitted to the First Department of Orthopedics, Hebei Hospital of Traditional Chinese Medicine from October 2019 to October 2020 were selected as the research subjects, and they were divided into control group and experimental group according to random number table method, with 30 cases in each group. Both groups were treated with combined external fixator. The experimental group was treated with Fuyuan Huoxue Decoction on the basis of combined external fixator treatment. After six months, the fixation device in both groups were removed, and the experimental group stopped taking medication. The fracture healing time, swelling degree, visual analogue scale (VAS) score, Neer shoulder function score, and D-dimer level of the two groups were observed. Results The fracture healing time of the experimental group was shorter than that of the control group, and the difference was statistically significant (P ＜ 0.05). In both two groups, VAS scores at three weeks, three months, and six months after surgery were lower than those at one day before surgery and one day after surgery, and Neer shoulder function scores were higher than those at one day before surgery and one day after surgery; VAS scores at three and six months after surgery were lower than those at three weeks after surgery, and Neer shoulder function scores were higher than those at three weeks after surgery; VAS scores at six months after surgery were lower than those at three months after surgery, and Neer shoulder function scores were higher than those at three months after surgery, the differences were statistically significant (P ＜ 0.05). VAS scores of the experimental group were lower than those of the control group at three weeks, three months, and six months after surgery, and Neer shoulder function scores were higher than those of the control group at the same period, the differences were statistically significant (P ＜ 0.05). The D-dimer levels of both groups were lower at 3, 7, and 14 d after surgery than those at one day before surgery and one day after surgery, the D-dimer levels at 7, 14 d after surgery were lower than those at 3 d after surgery, the D-dimer levels at 14 d after surgery were lower than those at 7 d after surgery, the differences were statistically significant (P ＜ 0.05). The D-dimer levels of the experimental group were lower than those of the control group at 3, 7, and 14 d after surgery, the differences were statistically significant (P ＜ 0.05). The degree of swelling in the experimental group three weeks after surgery was lighter than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Combined external fixator combined with Fuyuan Huoxue Decoction for the treatment of elderly high-risk patients with proximal humerus fractures can help to accelerate local blood circulation, relieve postoperative swelling, promote fracture healing, relieve postoperative pain, and shorten postoperative functional recovery time.
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| Cite this article: |
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ZHANG Yili1 TIAN Yafeng2 DONG Junge2 YANG Mingshuai2 DONG Shaoyang1 XUE Pengyu1 CHEN Baosheng1 FAN Jinrui1. Clinical observation of combined external fixator combined with Fuyuan Huoxue Decoction in the treatment of elderly high-risk patients with proximal humerus fractures#br#[J]. 中国医药导报, 2022, 19(3): 75-78,86.
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| URL: |
| https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I3/75 |
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