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一例GardenⅣ型老年股骨颈骨折患者的循证治疗 被引量:1

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摘要 【目的】借助循证医学的方法为老年股骨颈骨折患者确定治疗目标以及治疗方案。【方法】在充分评价患者的病情后,提出临床问题,从EBSCO、cochrane图书馆(2008年第1期)、medline(pubmed网站1990年1月至2008年1月)和http://sumsearch.uthsea.edu/search form4.htm上进行检索。检索主题词:股骨颈骨折或股骨近端骨折(囊内股骨颈骨折、囊外股骨颈骨折);危险因素;手术时机;外科延期;术前牵引;褥疮;手术治疗;保守治疗;内固定(闭合复位内固定、切开复位内固定);人工假体植入或人工关节置换或全髋置换;单极股骨头或双极股骨头置换;术前抗生素;肝素;静脉血栓;导尿;并发症。【结果】共检索出与不同问题相关的随机对照试验36篇,系统评价或Meta-分析14篇。通过对检索结果进行分析,为患者制定了合理的治疗方案。经过一年随访证实该方案适合患者。【结论】采取循证治疗的方法,为新发老年GardenⅣ股骨颈骨折患者确定合理的治疗目标和治疗方案,可有效提高治疗效果。
出处 《医学临床研究》 CAS 2008年第8期1513-1517,共5页 Journal of Clinical Research
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参考文献30

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