Clinical Observation Of Modified Taohong Siwu Decoction In Improving Lower Extremity Function After PFNA For Intertrochanteric Fracture Of Femur

Purpose:To explore the clinical effect of Jiajian Taohong Siwu Decoction on patients with lower limb function after PFNA of intertrochanteric fractures.Material and method:From September 2018 to December 2020,61 patients with femoral intertrochanteric fractures with PFNA operation after admission and exclusion criteria were enrolled in the Orthopedics dept.No.1,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine.They were randomly divided into two groups according to the method random number table.The control group was routinely treated with fluid replacement,anti-infection,analgesia and rehabilitation by ERAS.On the basis of the control group,the Chinese Medicinel group applied Jiajian Taohong Siwu Decoction orally from the 2nd week to the 6th week after surgery,100 ml,2 doses in the morning and evening wormly,orally for 1 month.The muscle strength level of lower limb quadriceps femoris and triceps surae was reviewed on the 2nd week,6th week and 3rd month after surgery,the Harris hip function scoring system was used to evaluate the function of the hip and,FAC was used to evaluate the function of walking and TCM syndrome scores was reviewed on the 2nd week,6th week and 3rd month after surgery too.Results:1.The above measured values in the 6th week and the 3rd month after the operation,before and after comparison between the two groups,were compared with the 2nd week after the operation,and there was a significant difference;the values were statistically different between the 3rd month after the operation and the 6th week after the operation too(P<0.05).2.The scores in the Taohong Siwu Decoction group of quadriceps femoris and triceps surae muscle strength were higher than that in the control group on the 6th week and 3rd month after surgery,and there was a statistical difference(P<0.05).3.The Harris hip function scores in the Taohong Siwu Decoction group were higher than that in the control group on the 6th week and 3rd month after surgery,and there was a statistical difference(P<0.05).4.The FAC scores in the Taohong Siwu Decoction group were higher than that in the control group on the 6th week and 3rd month after surgery,and there was a statistical difference(P<0.05).5.The improvement of TCM symptoms on the 6th week and 3rd month after operation was significantly better than that of the control group,and there were statistical difference(P<0.05).Conclusion:1.Jiajian Taohong Siwu Decoction can enhance muscle strength of the quadriceps femoris and triceps surae after PFNA of femoral intertrochanteric fracture.2.Jiajian Taohong Siwu Decoction can effectively promote the recovery of lower limb function PFNA of femoral intertrochanteric fracture.3.Jiajian Taohong Siwu Decoction can improve the TCM symptoms of qi deficiency and blood stasis type.