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人工髋关节置换术治疗老年人股骨颈骨折的临床疗效研究 被引量:4

Efficacy of artificial hip replacement on elderly femur fracture
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摘要 目的:研究采用人工髋关节置换术治疗老年人股骨颈骨折的临床疗效,为临床提供可靠依据。方法:选取我院2014年5月-2016年1月收治的98例老年人股骨颈骨折患者作为研究对象,按照随机数表法平均分成实验组与参照组,每组各49例。其中实验组采用全髋关节置换术,参照组采用人工股骨头置换术。观察比较两组患者手术时间、手术的失血量、住院时间以及按照Harris评分标准对髋关节功能评估。结果:实验组的的手术时间、术中的出血量以及术后的引流量均显著高于参照组,差异有统计学意义(均P<0.05)。实验组住院时间与参照组比较无明显差异,不具有统计学意义(P>0.05)。实验组手术后髋关节恢复情况、疼痛感以及并发症发生率明显优于参照组。实验组的优良率为93.88%,显著高于参照组的71.43%,差异有统计学意义(P<0.05)。结论:全髋关节置换术对治疗老年人股骨颈骨折具有极佳的疗效,能够减少手术时的疼痛感,降低手术后并发症的发生率,提高患者生活质量。 Objective:To study efficacy of artificial hip replacement on elderly femur fracture.Methods:From May 2014 to January 2016,98 patients were divided into two groups,49 cases in each.The experimental group was given artificial hip replacement;and the control group was given prosthetic replacement for femoral head.Operation time,blood loss,length of hospital stay and Harris score in two groups were compared.Results:In the experimental group,operating time,bleeding volume and drainage were better,P<0.05.The difference in length of stay between two groups was not statistically significant,P>0.05.In the experimental group,hip joint recovery,pain,and complications were significantly better.The excellent rate in the experimental group was 93.88%,higher than 71.43%in the control group,P<0.05.Conclusion:Artificial hip replacement on elderly femur fracture shows a good effect,could reduce the pain during surgery and the incidence of complications after surgery,improve the quality of life of patients.
作者 陈发
出处 《中医临床研究》 2018年第16期109-111,共3页 Clinical Journal Of Chinese Medicine
关键词 股骨颈骨折 人工股骨头置换术 老年人 全髋关节置换术 Femur fracture Prosthetic replacement for femoral head Elderly Artificial hip replacement
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