中西醫結合治療高齡脆弱性骨折之病例報告

Combined Traditional Chinese and Western Medicine Treatment for Fragility Fractures in Elderly Patients: A Case Report

邱彥甄(Yen-Chen Chiu) ； 劉俊廷(Chun-Ting Liu) ； 蔡明諺(Ming-Yen Tsai)

《中醫內科醫學雜誌》 22卷2期 (2024/12) Pp. 64-77

https://doi.org/10.7102/JTCIM.202412_22(2).0007

摘要

高齡患者的脆弱性骨折因骨質疏鬆和營養不良等多重因素，常導致骨癒合延遲、生活質量下降以及康復速度緩慢。本案例報告描述了一名74歲女性患者的治療經過，並探討了西醫與中醫結合對促進脆弱性骨折癒合的效果。病患於手術過程中發生意外遠端股骨骨折，最終採取開放復位內固定術（ORIF），術後患者活動受限及嚴重疼痛。經進一步評估發現骨質疏鬆嚴重（T值：-5.3），並有營養不良問題，因而轉介至中醫接受輔助治療。經一個月的中醫藥物治療後，患者顯示出骨癒合加速的現象，並恢復行走能力。此案例進一步印證了中西醫結合在高齡患者骨折康復中的重要性。

關鍵字

脆弱性骨折 ； 急性後期照護 ； 整合醫學 ； 中醫

並列摘要

Fragility fractures in elderly patients due to multiple factors such as osteoporosis and malnutrition, often result in delayed bone healing, decreased quality of life, and delayed recovery. This case report describes the treatment of a 74-year-old female patient and explores the effectiveness of a combination of Western and Chinese medicine in promoting healing of fragility fractures. An accidental distal femur fracture occurred during the operation in this case, and open reduction and internal fixation (ORIF) was ultimately performed. The patient's activities were restricted with severe pain after the operation. After further evaluation, she was found to have severe osteoporosis (T-score: -5.3) and malnutrition, so she was referred to our traditional Chinese medicine department for adjuvant treatment. After one month of Chinese medicine treatment, the patient showed accelerated bone healing and regained the ability to walk. This case further confirms the importance of integrating traditional Chinese and Western medicine in the rehabilitation of elderly patients from fractures.

並列關鍵字

fragility fracture ； post-acute care ； integrated medicine ； traditional Chinese medicine

參考文獻

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