CAJ | 학술논문

目的：探讨熟三七粉对促进股骨骨折愈合并伴术后贫血的临床治疗效果。方法：将我科2014年5月至2014年12月收治的，资料完整的股骨骨折并伴术后失血性贫血患者90例随机分为对照组和治疗组（45例／组）。对照组按照伤科三期辨证用药治疗，同时服用琥珀酸亚铁片；治疗组在对照组的基础上加服熟三七粉；疗程均为8周。观察2组患者治疗前后股骨骨折愈合情况及血红蛋白（ Hb ）、红细胞比积（ HCT ）、血小板计数（ BPC ）的变化。结果：治疗组的治愈率为88．89％，对照组的治愈率71．11％，2组比较有统计学意义（ P＜0．05）；经治疗4周后术后贫血患者的Hb、HCT较对照组均有显著升高，差异有统计学意义（ P＜0．05）；经治疗后的第8周治疗组的BPC与对照组有统计学意义（ P＜0．05）。结论：熟三七粉对股骨骨折的愈合具有促进作用，并能改善其术后贫血，纠正贫血指标、改善气血亏虚症状的作用，值得临床推广应用。
목적：탐토숙삼칠분대촉진고골골절유합병반술후빈혈적림상치료효과。방법：장아과2014년5월지2014년12월수치적，자료완정적고골골절병반술후실혈성빈혈환자90례수궤분위대조조화치료조（45례／조）。대조조안조상과삼기변증용약치료，동시복용호박산아철편；치료조재대조조적기출상가복숙삼칠분；료정균위8주。관찰2조환자치료전후고골골절유합정황급혈홍단백（ Hb ）、홍세포비적（ HCT ）、혈소판계수（ BPC ）적변화。결과：치료조적치유솔위88．89％，대조조적치유솔71．11％，2조비교유통계학의의（ P＜0．05）；경치료4주후술후빈혈환자적Hb、HCT교대조조균유현저승고，차이유통계학의의（ P＜0．05）；경치료후적제8주치료조적BPC여대조조유통계학의의（ P＜0．05）。결론：숙삼칠분대고골골절적유합구유촉진작용，병능개선기술후빈혈，규정빈혈지표、개선기혈우허증상적작용，치득림상추엄응용。
Objective:To explore the clinical therapeutic effect of the steamed notoginseng powder to promote femur fracture heal -ing and postoperative anemia .Methods:A total of 90 postoperative hemorrhagic anemia patients were randomly divided into con-trol group and treatment group ( n=45 ) .The control group took ferrous succinate tablets .The treatment group were taken steamed notoginseng powder on the basis of the control group .The courses of treatment was 8 weeks.Observed healing of femur fracture and the change of hemoglobin (Hb), red blood cells (HCT), platelet count (BPC).Results:The curative rate of the treatment group was 88.89%, and the control group was 71.11%(P<0.05).Hb, HCT of the treatment group were significantly higher than the control group ( P<0.05 );After 8 weeks treatment group ’ s BPC was higher than the control group ( P<0.05 ) .Conclu-sion:Steamed notoginseng power is conducive to healing femur fracture and correcting anemia indicators , therefore relieve symp-toms of Qi and blood deficiency.