[1]岳洪武,黄德清.骨康胶囊对老年骨质疏松性髋部骨折内固定患者术后恢复、骨代谢及骨密度的影响[J].医学信息,2021,(24):73-76.[doi:10.3969/j.issn.1006-1959.2021.24.015]
 YUE Hong-wu,HUANG De-qing.Effects of Gukang Capsule on Postoperative Recovery, Bone Metabolism and Bone Mineral Density in Elderly Patients with Osteoporotic Hip Fracture[J].Medical Information,2021,(24):73-76.[doi:10.3969/j.issn.1006-1959.2021.24.015]
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骨康胶囊对老年骨质疏松性髋部骨折内固定患者术后恢复、骨代谢及骨密度的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2021年24期
页码:
73-76
栏目:
论著
出版日期:
2021-12-15

文章信息/Info

Title:
Effects of Gukang Capsule on Postoperative Recovery, Bone Metabolism and Bone Mineral Density in Elderly Patients with Osteoporotic Hip Fracture
文章编号:
1006-1959(2021)24-0073-04
作者:
岳洪武黄德清
(天津市第三中心医院分院骨科,天津 300250)
Author(s):
YUE Hong-wuHUANG De-qing
(Department of Orthopedics,Branch of Tianjin Third Central Hospital,Tianjin 300250,China)
关键词:
骨康胶囊骨质疏松髋部骨折骨代谢骨密度骨化三醇
Keywords:
Gukang capsulesOsteoporosisHip fractureBone metabolismBone mineral densityCalcitriol
分类号:
R683
DOI:
10.3969/j.issn.1006-1959.2021.24.015
文献标志码:
A
摘要:
目的 探讨骨康胶囊对老年骨质疏松性髋部骨折内固定患者术后恢复、骨代谢及骨密度(BMD)的影响。方法 选取2017年6月-2019年6月我院接受内固定术的102例老年骨质疏松性髋部骨折患者为研究对象,随机分为观察组52例和对照组50例。对照组术后予以常规治疗,观察组在对照组基础上联合骨康胶囊治疗,比较两组术后恢复时间指标(下床活动时间、术后住院时间、患侧肢体肿胀消退时间、骨折愈合时间),血清骨代谢指标[骨特异性碱性磷酸酶(BALP)、骨钙素(BGP)、Ⅰ型胶原C端肽(PⅠCP)、Ⅰ型胶原N端前肽(PⅠNP)],股骨颈、大转子、胸椎、腰椎BMD及不良反应发生情况。结果 观察组术后下床活动时间、术后住院时间、患侧肢体肿胀消退时间、骨折愈合时间均短于对照组(P<0.05);观察组术后3个月、6个月BALP、BGP、PⅠCP、PⅠNP水平均低于对照组(P<0.05);观察组股骨颈、大转子、胸椎、腰椎BMD均高于对照组(P<0.05);两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论 骨康胶囊可促进骨质疏松性髋部骨折的老年患者内固定术后的病情恢复,调节骨代谢平衡,增加胸腰髋部BMD,安全性较高。
Abstract:
Objective To investigate the Effects of Gukang capsule on postoperative recovery, bone metabolism and bone mineral density (BMD) in elderly patients with osteoporotic hip fracture.Methods Totally 102 elderly patients with osteoporotic hip fractures who underwent internal fixation in our hospital from June 2017 to June 2019 were randomly divided into observation group (52 cases) and control group (50 cases). The control group was treated with routine treatment after operation, and the observation group was treated with Gukang capsule on the basis of the control group. The postoperative recovery time indexes (ambulation time, postoperative hospital stay, limb swelling subsided time, fracture healing time ), serum bone metabolism indexes [bone-specific alkaline phosphatase (BALP), bone Gla protein (BGP), collagen type Ⅰ the C-terminal peptide (PⅠCP), collagen type Ⅰ N-terminal propeptide (PⅠNP)], BMD of femoral neck, greater trochanter, thoracic vertebra, lumbar vertebra, and incidence of adverse reactions were compared between the two groups.Results The ambulation time, postoperative hospital stay, limb swelling subsided time and fracture healing time of the observation group were shorter than those of the control group (P<0.05). The levels of BALP, BGP, PⅠCP and PⅠNP in the observation group at 3 and 6 months after operation were lower than those in the control group (P<0.05). BMDs of femoral neck, greater trochanter, thoracic vertebra and lumbar vertebra in the observation group were higher than those in the control group (P<0.05). There was no significant difference in the total incidence of adverse reactions between the two groups (P>0.05).Conclusion Gukang capsules can promote the recovery of elderly patients with osteoporotic hip fracture after internal fixation, regulate the balance of bone metabolism, increase the bone density of chest, waist and hip, with high safety.

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