Observation on the clinical effect of Danggui Buxue decoction in the treatment of postoperativefever after femoral fracture
当归补血汤加味治疗股骨骨折术后发热的临床疗效观察

摘要

目的 分析当归补血汤加味治疗股骨骨折术后非感染性发热的临床疗效。方法 选取我科2020年3月-2021年9月收治的股骨骨折术后发热患者共78例，随机分组，对照组的患者给予补液、物理降温或解热镇痛药等常规方法治疗，观察组则在物理降温的基础上予以当归补血汤加味治疗。比较两组骨折术后体温恢复正常时间、治疗前后患者全血细胞分析结果、血清炎性指标监测结果、治疗总效率、不良反应。结果 观察组骨折术后体温恢复正常时间短于对照组，P＜0.05。观察组治疗后患者全血细胞分析结果、血清炎性指标监测结果均优于对照组，P＜0.05。观察组治疗总效率高于对照组，P＜0.05。两组术后均未出现明显不良反应。结论 当归补血汤加味治疗对于股骨骨折术后非感染性发热的效果确切，可加速临床症状消失，增加红细胞及血红蛋白等血液有形成分含量，促使血清炎性指标得到进一步改善，恢复正常体温，安全性高，值得推广。

Abstract

Objective To analyze the clinical effect of Danggui Buxue Decoction in the treatment of non-infectious fever after femoral fracture.
Methods A total of 78 patients with postoperative fever after femoral fracture treated in our department from March 2020 to September 2021 were selected and randomly divided into groups. The patients in the control group were treated with conventional methods such as fluid rehydration, physical cooling or antipyretic analgesics. The observation group On the basis of physical cooling, Danggui Buxue Decoction was given for treatment. The time for body temperature to return to normal after fracture operation, the results of whole blood cell analysis, the monitoring results of serum inflammatory indexes, the total treatment efficiency and adverse reactions of the patients before and after treatment were compared between the two groups.
Results The time for body temperature to return to normal after fracture operation in the observation group was shorter than that in the control group, P<0.05. After treatment, the results of whole blood cell analysis and monitoring of serum inflammatory indexes in the observation group were better than those in the control group, P<0.05. The total treatment efficiency of the observation group was higher than that of the control group, P<0.05. There were no obvious adverse reactions in both groups after operation.
Conclusion   Modified Danggui Buxue Decoction has definite effect on non-infectious fever after femoral fracture operation. It can accelerate the disappearance of clinical symptoms, increase the content of red blood cells and hemoglobin and other blood formed components, promote the further improvement of serum inflammatory indexes, restore normal body temperature, and is safe High sex, worthy of promotion.