| 冯晨,冯莹,李孝坤,王子健,孙革,张延辉.髋关节置换术治疗老年股骨颈骨折疗效分析[J].中国烧伤创疡杂志,2019,(4):277~280. |
| DOI： |
| 中文关键词: 老年 股骨颈骨折 髋关节置换术 骨折内固定 疗效 |
| 英文关键词:The elderly Femoral neck fracture Hip replacement Internal fixation Clinical efficacy |
| 基金项目:牡丹江市科学技术计划项目 ( Z2017s0061) |
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| 中文摘要: |
| 【摘要】 目的 探讨髋关节置换术治疗老年股骨颈骨折的临床疗效? 方法 选取 2018 年 1 月至 2019 年 1 月牡丹江医学院红旗医院收治的 100 例老年股骨颈骨折患者作为研究对象, 并按照随机数表法将其随机分为试验组 (50 例) 与对照组 (50 例), 其中试验组患者采用髋关节置换术予以治疗, 对照组患者采用骨折内固定术予以治疗, 对比观察两组患者的手术时间? 卧床时间? 住院时间? 髋关节功能评分及并发症发生情况? 结果 试验组患者的手术时间及住院时间均明显长于对照组, 而卧床时间明显短于对照组, 两组对比, P 均 < 0 05, 差异具有统计学意义; 治疗 15 d 时, 试验组患者的髋关节功能评分明显低于对照组, 两组对比, P < 0 05, 差异具有统计学意义; 治疗过程中, 试验组患者并发症发生率为 2 0% , 明显低于对照组患者的并发症发生率 18 0% , 两组对比, P < 0 05, 差异具有统计学意义? 结论 髋关节置换术治疗老年股骨颈骨折, 可明显缩短患者的卧床时间, 减少泌尿系统感染等并发症的发生, 促进髋关节功能恢复, 进而改善患者的生活质量? |
| 英文摘要: |
| 【Abstract】 Objective To explore the clinical efficacy of hip replacement in the treatment of femoral neck fracture in the elder people. Methods One hundred old patients with femoral neck fracture admitted into Hongqi Hospital Affiliated to Mudanjiang Medical University between January 2018 and January 2019 were selected as subjects to be divided into an experimental group (50 cases) and a control group (50 cases) according to the random number table. In the experimental group patients were treated with hip replacement while patients in the control group were treated with internal fixation. The operation time, bedridden time, hospitalization duration, function score of hip joint and occurrence of complications were observed and compared between the two groups. Results The operation time and hospitalization duration of patients in the experimental group were both obviously longer than that in the control group, while the bedridden time in the experimental group was shorter than that in the control group, and the differences were all statistically significant, P < 0 05. On day 15 of treatment, the function score of hip joint of patients in the experimental group was markedly lower than that in the control group, between which the difference was statistically significant, P < 0 05. During the treatment course, the occurrence rate of complications in the experimental group was 2 00% , which showed a statistically significant difference as compared with 18% in the control group, P < 0 05. Conclusion In the treatment of femoral neck fracture in the old people, hip replace? ment can obviously shorten the bedridden time of patients, reduce the occurrence of complications such as urinary tract in? fection and promote the functional restoration of hip joint and thus improve the quality of life of patients. |
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