Objective

2

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

2

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

2

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

P

>

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 （

P

<

0.05）.

Conclusion

2

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.