| Objective:Through observed the growth and decline of Stomach-qiof46cases patients of needed Closed reduction and cannulated screwfixation、 proximal femoral fractures closed reduction PFNA fix-ation or hemiarthroplasty patients undergoing preoperative andpostoperative,we collect the important biochemical indicators ofpatients(HGB), record the procedure-related indicators,and recordthe appetite,the intake of food, abdominal distension, the Stomach-qi Shangni, tongue and pain levels pre-operate and post–operate.Through the result,we explored the collection between the Stomach-qirise and decline with age, contact between the proximal femurfracture type, surgical approach, operative time and blood loss,transfusion volume,the decline of HGB.The project provide someobjective evidence for the observation of Stomach-qi growth anddecline, discuss the specific factors which may lead to the growthand decline of Stomach-qi and summarize the impact of trends.Theproject provide certain references for perioperative care,theevaluation of clinicians to the efficacy of surgery and prognosisof disease.It also provide a reference to a clinical diagnosis andtreatment. Method:46cases of proximal femoral fractures patients between theage of60to90were collected based on the inclusion criteria,exclusion criteria.The surgical treatment was decided in accord-ance with the classification and surgical indications of proximalfemoral fractures.The growth and decline of Stomach–Qi (Stomach–qias sessment appetite, appetite, bloating, stomach gas on severalle-vels:inverse, tongue),the degree of pain and preoperativehemog-lobin count was asked and observed before surgery (1day)and after surgery (1day,3days,5days,7days).And the score andclass-ification analysis was summarized, and the resulting datawas statistically analyzed.The different changes of Stomach-qiwere compared to find whether there was statistical significancebetween the type of fracture, age group, hemoglobin.The differentchanges of Stomach-qi after surgery were compared to find whetherthere was statistical significance between the choice of surgicalapproach, operative time, blood loss, differences in the length ofthe surg-ical incisions. The results were comprehensive analysisedcombined with traditional Chinese medicine theory.Result:①The Stomach-qi scores in the group of60to69-year–old,the group of70to79-year-old,the group of80to90-year-oldhave statistically significant difference among one day beforesurgery, one day after surgery,three days after surgery,five daysand seven days after surgery.With age increasing, the time ofstomach recovery takes is longer.②In the patients of femoral neckfracture and intertrochanteric fracture,the Stomach-qi scores havestatistically significant difference among one day before surgery,one day after surgery,three days after surgery,five days and sevendays after surgery.The time of stomach recovery in the intert- rochanteric fracture group takes is longer than femoral neckfracture group. The Stomach-qi scores of one day before surgery havestatistically significant difference between different surgicalmethods.The Stomach-qi scores have no statistically significantdifference among one day after surgery,three days after surge-ry,five days and seven days after surgery in closed reductioncannulated screw fixation group and closed reset+the PFNA withinfixation group.The Stomach-qi scores have no statistically sign-ificant difference among one day after surgery,three days aftersurgery,five days and seven days after surgery in closed reductioncannulated screw fixation group and closed reset+the PFNA withinfixation group compared with hemiarthroplasty.The time of stomachrecovery in the hemiarthroplasty group takes is longer than closedreduction cannulated screw fixation group and closed reset+thePFNA within fixation group.The Stomach-qi scores have statistical-ly significant difference among one day after surgery,three daysafter surgery,five days and seven days after surgery in the declineof HGB which <10g/L,10-20g/L,>20g/L.With the decline of HGBincleasing,the time of stomach recovery takes is longer.⑤In dif-ferentpreoperative hemoglobin values, blood loss, duration ofsurgery length, incision length,the Stomach-qi scores have nostatistically significant difference among one day after surge-ry,three days after surgery,five days and seven days after surgery.Conclusion: For perioperative patients with proximal femoralfractures treated surgically stomach-qi waxing-waning variationhas a relationship with age, fracture type, surgical approach,hemoglobin decreased value,while has no relationship with pre-operative hemoglobin values, blood loss, duration of surgery len- gth,incision length.For patients after surgery,stomach-qi waxing-waning variation has relationship with the choice of surgical appr-oach, age, hemoglobin decreaseand the patient’s tolerance.Thestomach-qi gradually return to normal for patients after surger-y.The time it needed has a relationship with age, fracture type,surgical approach, hemoglobin decreased value. |
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