Study On The Correlation Between Preoperative Risk Factors And Preopeirative TCM Syndromes Of Hip Fracture In Elderly Patients

Objective:According to preoperative patients with hip fracture,this study based on the existing elderly hip fracture surgery risk rating system selected the accepted surgical risk factors for data sorting.Early symptoms of traditional Chinese medicine and use of all cases trauma questionnaire for the type of data collection.In combination with the actual situation and ask relevant experts in the field of cases,trying to understand the elderly hip fracture patients with preoperative symptoms of traditional Chinese medicine distribution.Studing preoperative risk factors and the correlation of TCM symptoms to explore the elderly hip fracture patients with preoperative risk factors in the distribution of TCM syndrome types,in order to have certain significance for clinical diagnosis and treatment.Methods:A total of 195 cases were collected in Shanxi Province people’s hospital orthopedic inpatient from October 2014 to February 2017.The patients were used early trauma preoperative TCM syndrome of TCM syndrome questionnaire survey and related risk factors to select statistics.57 cases of men and 138 cases of women patients aging range of 60-88 years were used SPSS statistical software for data clustering analysis and related statistics to consultant and summarize preoperative hip fracture distribution regularity of early symptoms of traditional Chinese medicine and its correlation of preoperative risk factors.Results:Elderly hip fracture patients with preoperative symptoms of traditional Chinese medicine distribution has certain law,characterized by qi deficiency and blood stasis type(51.28%),the product of heat and blood stasis type(31.79%)and qi and blood stasis type(16.92%).The correlation research results of preoperative risk factors and the three types : The wound before activity factor more distribute in the qi deficiency blood stasis type;Electrocardiogram(ecg)abnormal factors more distribute in the qi and blood stasis type;Charlson comorbidity score(CCI)more distribute in the product of heat and blood stasis syndrome type;Injury to the nursing home factors more distribute in the heat and qi and blood stasis type;Risk factors:male,high ASA score,mental retardation and aged > 85 years old have no significant differences in the three types of distribution.Conclusion: By cluster analysis combined with the actual situation of the clinical syndromes of elderly hip fracture patients of other age syndrome and TCM on fracture patients with different syndromes,different from the early period of three patients with early syndrome differentiation,syndrome distribution of frequency from high to low from the performance of blood stasis hip fracture in the elderly,extravasated heat,the three main syndromes of qi stagnation and blood stasis.The main risk factors of patients with hip fractures in the elderly: ECG abnormalities,mental retardation,> 85 years ago,the fracture activity ability is poor,male,living in nursing homes,ASA grade,Charlson comorbidity score high there are differences in the distribution of the preoperative TCM syndrome type.There,guiding significance for clinical work.The clinical syndromes of elderly patients with hip fractures obtained by cluster analysis and clinical practice were different from those of patients with fractures in other age groups.Compared with the early stage syndrome,the frequency of early syndromes of elderly patients with hip fractures were different from the frequency of early syndromes of three period dialectical,it had the three main syndromes were found from Qi and Blood Stasis,Stagnation and Heat Stagnation ranging from high to low.The main risk factors : ECG abnormalities,mental retardation,> 85 years of age,poor ability to perform before fracture,male,nursing home,ASA grade,high scores of Charlson syndrome were different in the distribution of the preoperative TCM syndrome type and the existence of differences has guiding significance in the clinical work.