摘要
Abstract
Objective To evaluate the application effect of traditional Chinese medicine(TCM)directional penetration therapy combined with modified Siwu Decoction dietary care in nursing for elderly patients with hidden blood loss after hip fracture surgery.Methods A total of 150 elderly patients with hip fractures who developed postoperative hidden blood loss and received treatment at Changzhou Hospital of Traditional Chinese Medicine from September 2023 to August 2025 were selected as the research subjects.Patients were randomly divided into two groups using a random number table method,with 75 cases in each group.The control group received routine postoperative care,while the observation group received TCM directional penetration therapy and dietary regulation with modified Siwu Decoction on the basis of routine nursing.The scores of Pittsburgh Sleep Quality Index(PSQI),Visual Analogue Scale(VAS)of pain,Harris Hip Score(HHS),Berg Balance Scale(BBS),duration of morning stiffness,and grip strength levels were compared between the two groups before and after intervention.Additionally,the incidence of complications during hospitalization and the volume of hidden blood loss on postoperative days 3 and 7 were recorded and compared.Results After 7 days of intervention and 1 month of follow-up,the PSQI and VAS scores in the observation group were significantly lower than those in the control group,while HHS and BBS scores in the observation group were significantly higher than those in the control group(P<0.05).After 7 days of intervention and 1 month of follow-up,compared with the control group,the observation group had shorter morning stiffness duration and higher grip strength values(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the hidden blood loss at 3 days and 7 days after surgery in the observation group was less than that in the control group(P<0.05).Conclusion The combination of TCM directional penetration therapy and modified Siwu Decoction dietary care can effectively improve sleep quality,reduce pain,promote the recovery of limb mobility and balance function,shorten morning stiffness duration,enhance muscle strength,reduce the incidence of complications,and decrease postoperative hidden blood loss in elderly patients after hip fracture surgery.关键词
髋部骨折/隐性失血/定向透药疗法/加药四物汤/髋关节功能Key words
hip fracture/hidden blood loss/directional drug penetration therapy/modified Siwu Decoction/hip joint function分类
医药卫生
