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从1988年3月至今,我们开展家庭病床应用中西医结合治疗不愿意接受手术治疗的老年粗隆间骨折病人22例,效果满意。22例中男12例,女10例。年龄64～86岁。致伤原因:跌倒18例,交通事故4例。骨折类型:顺粗隆间粉碎型13例,顺粗隆间型5例,反粗隆间3例,粗隆下1例。治疗方法:本组病人全部在家庭病床中治疗。采用患肢皮牵引,牵引重量为6kg～8kg,视复位情况,调整外展角度及牵引重量。一般牵引6～8周。牵引期间,指导患者自始至终进行主动功能锻练。8周左右视骨痂生长情况,可除去牵引,扶拐下地。X线片已达骨性愈合者可让其增加运动量,努力锻练髋、膝、踝关节。在治疗期间,同时给病人口服活血、促进骨痂生长、舒筋活络、补血补气类中药。结果:本组治疗期间无死亡病例,治疗前内科并存疾病未出现加重症状,无骨不愈合病例。随访20例,最短半年,最长6年,平均时
From March 1988 till now, we carried out 22 cases of intertrochanteric fractures in elderly patients who are reluctant to be surgically treated with integrated traditional Chinese and western medicine in family beds. The results were satisfactory. In 22 cases, there were 12 males and 10 females. Age 64 to 86 years old. Cause of injury: fall 18 cases, 4 cases of traffic accidents. Fracture type: shunt intertrochanteric smashing in 13 cases, 5 cases of interspinous intertrochanteric, triceps in 3 cases, 1 case of subtrochanter. Treatment: All patients in this group of patients treated in the family bed. The use of limb skin traction, traction weight 6kg ~ 8kg, depending on the reset situation, adjust the outreach angle and traction weight. General traction 6 to 8 weeks. During traction, guide the patient through active functional exercise throughout. Visual callus growth for about 8 weeks can be removed traction, escalating to the ground. X-ray has reached the bony healing can make it increase the amount of exercise, and strive to exercise the hip, knee and ankle. During the treatment, while oral blood to the patient to promote the growth of callus, Shujin, blood type of Chinese medicine. Results: There were no deaths during the treatment period in this group. There was no exacerbation of internal medicine and no bone nonunion cases before treatment. Follow-up of 20 cases, the shortest half a year, a maximum of 6 years, the average time