Effects of Danshen Chuanxiongqin therapy on TXA2/PGI2, bone metabolism and stress levels after proximal femoral fracture surgery

摘要

Objective : To study the effects of Danshen Chuanxiongqin therapy on TXA 2 /PGI 2 , bone metabolism and stress levels after proximal femoral fracture surgery. Methods: A total of 80 patients with proximal femoral fractures who received open reduction and internal fixation treatment in the First Affiliated Hospital of the Fourth Military Medical University between January 2015 and December 2016 were selected as the research subjects and randomly divided into the experimental group who received postoperative adjuvant Danshen Chuanxiongqin therapy and the control group who received postoperative conventional therapy. The levels of TXA 2 /PGI 2 balance-related indicators, bone metabolism indicators and stress hormones in serum as well as the expression levels of stress molecules in peripheral blood were measured before surgery and 3 d after surgery. Results: Compared with those of same group before surgery, serum 6-keto-PGF1 毩 , t-PA, PICP, BALP and OCN levels of both groups of patients were significantly lower whereas serum TXB2, PAI-1, D-D, β-CTX, RANKL, NE, COR and ANG-II levels as well as peripheral blood NF-κB and HSP70 expression were significantly higher after surgery, and serum 6-keto-PGF1 毩 , t-PA, PICP, BALP and OCN levels of experimental group after surgery were higher than those of control group whereas serum TXB2, PAI-1, D-D, β-CTX, RANKL, NE, COR and ANG-II levels as well as peripheral blood NF-κB and HSP70 expression were lower than those of control group. Conclusion: Danshen Chuanxiongqin therapy after proximal femoral fracture surgery can adjust the TXA 2 / PGI 2 balance, improve the bone metabolism and reduce the stress level.