Effect of Xianling Gubao Capsule Combined with Hollow Screw Internal Fixation on Coagulation Function and Hip Joint Function in Patients with Femoral Neck Fracture

doi:10.16458/j.cnki.1007-0893.2025.19.013

Abstract：Objective: To investigate the effect of hollow screw internal fixation combined with Xianling Gubao capsule on coagulation function and hip joint function in patients with femoral neck fracture. Methods: A total of 103 patients with femoral neck fracture treated at the 989 Hospital of the Logistics Support Force of the People's Liberation Army from October 2022 to March 2024 were retrospectively collected. According to different treatment methods, they were divided into a control group (50 cases) and an observation group (53 cases). The control group received hollow screw internal fixation plus basic treatment, while the observation group received additional treatment with Xianling Gubao capsule. The clinical efficacy, hip joint function, pain level, coagulation function, and incidence of adverse reactions were compared between the two groups. Results: The total effective rate of treatment in the observation group (94.34%) was higher than that in the control group (80.00%), with a statistically significant difference (P < 0.05). One month and three months after treatment, the Harris Hip Score (HSS) in the observation group was higher than that in the control group, with statistically significant differences (P < 0.05). Seven days and 14 days after treatment, the Numeric Rating Scale (NRS) scores in the observation group were lower than those in the control group, with statistically significant differences (P < 0.05). One month after treatment, the activated partial thromboplastin time (APTT) in the observation group was longer than that in the control group, while the levels of fibrinogen (FIB) and serum D-dimer (D-D) were lower, with statistically significant differences (P < 0.05). There was no statistically significant difference in the overall incidence of adverse reactions between the two groups (P > 0.05). Conclusion: Treatment with Xianling Gubao capsule combined with hollow screw internal fixation in patients with femoral neck fracture can effectively improve clinical treatment outcomes, promote recovery of hip joint function, improve coagulation function, reduce pain, accelerate rehabilitation, and does not increase adverse reactions.