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津力达颗粒对2型糖尿病合并髋部骨折患者血糖控制及手术疗效的影响
王文静,金康,乔静敏
石家庄市人民医院手术室石家庄 050000;石家庄市人民医院内分泌科石家庄 050000
摘要:
目的:观察津力达颗粒对2型糖尿病合并髋部骨折的患者血糖控制及手术疗效的影响。方法:选取2023年2月—2024年5月于石家庄市人民医院接受手术治疗的128例T2DM合并髋部骨折的患者,采用随机分组法分为两组,对照组(63例)采取传统降糖方案进行治疗,观察组(65例)在对照组基础上加服津力达颗粒进行治疗。测定并比较治疗前及治疗6个月后的血糖指标、Harris髋关节功能评分、骨代谢指标、炎症因子、血液流变学指标,以及治疗总有效率、骨折线消失时间、X线骨痂评分、不良反应发生率。结果:观察组治疗总有效率为95.38%,高于对照组的80.95%,差异有统计学意义(P =0.036);观察组X线骨痂评分、治疗后Harris髋关节功能评分、骨代谢指标中骨密度(BMD)、总1型前胶原氨基端延长肽(tP1NP)和25-羟基维生素D[25(OH)D3]水平高于对照组,骨折线消失时间短于对照组,治疗后的血糖指标、炎症因子、血液流变学指标、骨代谢指标中β-胶原特殊序列(β-CTX)低于对照组,差异均有统计学意义(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:津力达颗粒可通过调控血糖、改善骨代谢与血液流变学、减轻炎症反应,从而促进骨折愈合及髋关节功能恢复,且未明显增加不良反应发生风险,值得临床推广应用。
关键词:  2型糖尿病  髋部骨折  津力达颗粒  血糖
DOI:10.3969/j.issn.1007-6948.2026.02.006
投稿时间:2025-10-02
基金项目:石家庄市科技计划项目(231460553)
Effect of Jinlida granule on blood glucose control and surgical efficacy in type 2 diabetes patients with hip fracture
WANG Wen-jing,JIN Kang,QIAO Jing-min
Abstract:
Objective To observe the effect of Jinlida granule on blood glucose control and surgical efficacy in type 2 diabetes patients with hip fracture. Methods A total of 128 patients with type 2 diabetes mellitus (T2DM) complicated by hip fractures who underwent surgical treatment at Shijiazhuang People's Hospital from February 2023 to May 2024 were selected and randomly divided into groups. The control group (63 cases) received traditional hypoglycemic therapy, while the observation group (65 cases) received Jinlidag Granules in addition to the control group's treatment. Blood glucose indicators, Harris hip scores, bone metabolism markers, inflammatory factors, and hemorheological parameters were measured before treatment and after 6 months of treatment. The overall effective rate, fracture line disappearance time, X-ray callus score, and total incidence of adverse reactions after 6 months of treatment were recorded and compared between the groups. Results The observation group had an overall effective rate of 95.38%, higher than the control group′s 80.95%, with a statistically significant difference (P =0.036). The observation group showed higher X-ray bone callus scores, post-treatment Harris hip scores, and bone metabolism indicators [BMD, tP1NP, and 25(OH)D3] than the control group, with a shorter time to fracture line disappearance. Post-treatment blood glucose indicators, inflammatory factors, hemorheological indicators, and bone metabolism indicators (β-CTX) were lower in the observation group than in the control group, all with statistically significant differences (P <0.05). There was no statistically significant difference in the total incidence of adverse reactions between the two groups (P >0.05). Conclusion Jinlida granules can promote fracture healing and hip joint function recovery by regulating blood sugar, improving bone metabolism and hemorheology, reducing inflammatory reactions, and ultimately achieving the goal of promoting fracture healing and hip joint function recovery. The risk of adverse reactions has not significantly increased, and it is worth promoting and applying.
Key words:  Type 2 diabetes  hip fracture  Jinlida granule  blood glucose

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