Observation on the effect of method for promoting blood circulation and diuresis on coagulation state after hip fracture surgery based on thromboelastogram

SONG Jie-fei; ZHOU Ying-guang; HU Yan; CHEN Jian-bin

doi:10.16025/j.1674-1307.2024.01.009

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Observation on the effect of method for promoting blood circulation and diuresis on coagulation state after hip fracture surgery based on thromboelastogram

更新时间：2024-03-04

- Observation on the effect of method for promoting blood circulation and diuresis on coagulation state after hip fracture surgery based on thromboelastogram
- Beijing Journal of Traditional Chinese Medicine Vol. 43, Issue 1, Pages: 44-47(2024)
- 作者机构：
  
  1.南京中医药大学第一临床医学院，南京 210023
  2.连云港市中医院骨伤科，连云港 222004
  3.连云港市中医院检验科，连云港 222004
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2024.01.009
  CLC：
- Published：25 January 2024，
  
  Received：07 April 2023，
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宋洁菲，周迎光，胡妍，等.基于血栓弹力图观察活血利水法对髋部骨折术后凝血状态的影响［J］.北京中医药，2024，43（1）：44-47.

SONG Jie-fei,ZHOU Ying-guang,HU Yan,et al.Observation on the effect of method for promoting blood circulation and diuresis on coagulation state after hip fracture surgery based on thromboelastogram[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(01):44-47.
宋洁菲，周迎光，胡妍，等.基于血栓弹力图观察活血利水法对髋部骨折术后凝血状态的影响［J］.北京中医药，2024，43（1）：44-47. DOI： 10.16025/j.1674-1307.2024.01.009.

SONG Jie-fei,ZHOU Ying-guang,HU Yan,et al.Observation on the effect of method for promoting blood circulation and diuresis on coagulation state after hip fracture surgery based on thromboelastogram[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(01):44-47. DOI： 10.16025/j.1674-1307.2024.01.009.

摘要

目的

通过血栓弹力图（TEG）观察早期应用活血利水法治疗对髋部骨折术后凝血状态的影响。

方法

选取股骨颈骨折或股骨粗隆间骨折患者60例，按照随机数字表法分为治疗组和对照组，各30例。所有股骨颈骨折患者行人工髋关节置换术，股骨粗隆间骨折患者行股骨近端髓内钉（PFNA）内固定术，术后给予常规治疗。治疗组在此基础上，术后次日起口服活血利水类中药汤剂，7 d为1个疗程。分别于术后第1、第7日测定患者大腿围及TEG指标。

结果

术后第1日，2组大腿围、TEG指标及凝血状态比较，差异无统计学意义（

0.05）；术后第7日，治疗组CI值、MA值、α角低于对照组，K时间高于对照组，大腿围小于对照组，血液高凝患者人数少于对照组，差异均有统计学意义（

0.05）。

结论

在髋部骨折术后早期应用活血利水法治疗能够有效减轻术后肿胀，改善患者TEG指标，减少血液高凝状态的发生，加速术后康复。

Abstract

Objective

To observe the clinical effect of the method for promoting blood circulation and diuresis in early stage after hip fracture operation based on thrombelastogram （TEG）.

Methods

60 patients with femoral neck fracture or intertrochanteric fracture were randomly divided into treatment group and control group with 30 cases each. The patients with intertrochanteric fracture were treated with Proximal Femoral Nail Antirotation （PFNA），those with femoral neck fracture were treated with artificial hip replacement. All patients were given routine treatment after operation. The treatment group was given Taohong Siwu Decoction and Wuling Powder on the next day after surgery for 1 weeks in addition to routine treatment.On the 1st and 7th day after surgery， fracture clinical syndrome score （FCSS） and TEG were determined.

Results

On the 1st day after operation，there was no significant difference in thigh circumference， TEG index and coagulation state between the two groups （

0.05） . On the 7th day after operation， CI， MA， α in the treatment group were lower than those in the control group， K time was longer than that of the control group

the thigh circumference of the treatment group was smaller than that of the control group

the number of hypercoagulable patients was less than that of the control group. The difference was statistically significant （

0.05）.

Conclusion

Early application of Taohong Siwu Decoction after hip fracture operation can effectively reduce postoperative swelling

improve the TEG Index and reduce the occurrence of hypercoagulable state so as to accelerate the early recovery of patients after operation.

关键词

活血利水法桃红四物汤五苓散股骨粗隆间骨折股骨颈骨折血栓弹力图

Keywords

Method for promoting blood circulation and diuresisTaohong Siwu DecoctionWuling Powderintertrochanteric fracturefemoral neck fracturethromboelastogram

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