Objective: This topic takes the elderly patients with femoral neck fracture as the research object,aiming at observing the clinical efficacy of Bushen Yangxue Ointment combined with artificial femoral head replacement in the treatment of elderly femoral neck fracture,so as to judge the effectiveness and safety of this method,and provide a useful supplement for clinical treatment of elderly femoral neck fracture with integrated traditional Chinese and western medicine.Methods: From February 2021 to February 2022,60 elderly patients(aged75 to 85 years)with GardenⅢ or Ⅳ femoral neck fractures who were to undergo artificial femoral head replacement in the Traumatic orthopedic ward of Ruikang hospital affiliated to guangxi university of chinese medicine were divided into observation group and control group according to treatment methods,with 30 cases in each group.Patients in observation group began to take Bushen Yangxue Ointment(stop taking it on the day of operation)after admission,and continued to take it until the 14 th day after operation,with routine perioperative treatment such as infection prevention,detumescence,pain relief,Prevention of lower limb thrombosis and fluid replacement.Patients in the control group did not take Bushen Yangxue ointment,and the rest perioperative treatment plan was the same as that in the observation group.The RBC,HGB,HCT,PT,APTT,D-D,Harris score of hip joint,TCM syndrome score,curative effect of TCM syndrome,incidence of DVT of lower limbs,to evaluate the clinical effect of Bushen Yangxue ointment combined with artificial femoral head replacement in the treatment of femoral neck fracture in the elderly.Results: There was no significant difference in baseline data between the two groups(P>0.05),which was comparable.The RBC,HGB and HCT of the two groups were lower than those before operation on the first day after operation,and the difference was statistically significant(P<0.05).On the 7th and 14 th day after operation,the RBC,HGB and HCT of the two groups were higher than those on the 1st day after operation,and the difference was statistically significant(P<0.05).The improvement of RBC,HGB and HCT in the obser vation group was significantly better than that in the control group on the 7th and 14 th day after operation,and the difference was statistically significant(P<0.05).On the first day after operation,PT and APTT in both groups were lower than those before operation,while D-D was higher than that before operation,and the difference was statistically significant(P<0.05).On the 7th and 14 th day after operation,PT and APTT in the two groups were higher than those on the 1st day after operation,and the difference was statistically significant(P<0.05).Compared with the first day after operation,the diffe rence of D-D in the observation group on the 7th day after operation was statistically significant(P<0.05),but not in the control group(P>0.05).The improvement of PT,APTT and D-D in the observation group was significantly better than that in the control group on the 7th and 14 th day after opera tion,and the difference was statistically significant(P<0.05).Fourteen days after operation,the patients in the two groups were examined by color Doppler ultrasound of lower limb vessels.It was found that there was one asymp tomatic leg intermuscular venous thrombosis in the control group,and the incidence of DVT was 3.33%,while that in the observation group was 0%.There was no significant difference between the two groups(P>0.05).Harris score of hip joint in observation group was higher than that in control group on 1st month and 3rd month after operation,and the difference was statistically significant(P<0.05).There was no significant difference between the two groups in the scores of TCM symptoms before operation(P> 0.05),but the scores of TCM symptoms in observation group were lower than those in control group one month after operation,and the difference was statistically significant(P<0.05).After treatment,the curative effects of TCM symptoms in the two groups were compared.In the observation group,7 cases were significantly effective and 23 cases were effective,and the total effective rate was 100%.In the control group,22 cases were effective and 8 cases were ineffective,with a total effective rate of 73.33%.The observation group was significantly better than the control group,and the difference was statistically significant(P<0.05).Conclusion: Treating elderly patients with femoral neck fracture with Bushen Yangxue ointment during perioperative period can not only promote the recovery of erythrocyte count,hemoglobin and hematocrit to improve anemia,but also accelerate the recovery of patients after operation.It can also improve the coagulation function of patients,relieve the state of hypercoagulability and high viscosity of blood,and prevent DVT of lower limbs to some extent.Moreover,the kidney-tonifying and blood-nourishing cream is safe and reliable,and has no obvious adverse reaction,which is worthy of further promotion and application in clinic. |