摘要
目的探讨股骨近端防旋髓内钉(PFNA)早期手术对老年股骨转子间骨折患者预后的影响.方法选择本院收治的老年股骨转子间骨折患者100例作为研究对象,均行PFNA手术,按照不同手术时机分为观察组和对照组,各50例.观察组于骨折后48h内行PFNA,对照组于骨折48h后行PFNA.随访12个月,比较2组手术时间、术中出血量及输血量、住院时间、住院费用;比较2组患者术后6、12个月Harris髋关节功能评分状况;比较2组术后并发症发生情况及病死率.结果观察组手术时间、术中出血量、输血量、住院时间及费用均显著优于对照组,差异有统计学意义(P<0.05);观察组术后6、12个月的Harris髋关节功能评分显著高于对照组(P<0.05);观察组术后并发症发生率显著低于对照组(P<0.05),但2组病死率比较无显著差异(P>0.05).结论对老年股骨转子间骨折患者在早期行PFNA手术,能够缩短住院时间,减少住院费用,同时减少术中输血量及出血量,促进髋关节功能恢复.
Objective To investigate the effect of early operation with proximal femoral anti-rotation intramedullary nail (PFNA) on the prognosis of elderly patients with intertrochanteric fracture of femur. Methods A total of 100 elderly patients with intertrochanteric fracture of femur were selected and treated by PFNA. According to the operation timing, all the patients were divided into control group and observation group, with 50 cases in each group. The observation group was treated with PFNA with in 48 hours after fracture, while the control group was treated with PFNA at 48 hours after tracture. After follow-up for 12 months, the operation time, intra-operative bleeding volume, blood transfusion volume, hospitalization time and hospital expenses were compared between the two groups, the Harris hip function score at 6 and 12 months after operation were compared between the two groups, and the incidence rate of complications and mortality were compared between the two groups. Results The operation time, intra-operative blood loss, blood transfusion, hospitalization time and hospital cost of the observation group were significantly lower than those of the control group ( P <0.05). The Harris hip function score at 6 and 12 months after operation in the observation group were significantly higher than those in the control group ( P <0.05). The incidence rate of complications in the observation group was significantly lower than that in the control group ( P < 0.05), but the mortality showed no no significant difference between the two groups ( P >0.05). Conclusion Early application of PFNA for elderly patients with intertrochanteric fracture of femur can shorten hospitalization time, reduce hospital costs, reduce blood transfusion and bleeding during operation, and promote the recovery of hip function.
作者
邵芳
SHAO Fang(Department of Pediatrics, Fengjie County People′s Hospital in Chongqing, Chongqing, 404600)
出处
《实用临床医药杂志》
CAS
2019年第16期86-88,92,共4页
Journal of Clinical Medicine in Practice
关键词
股骨转子间骨折
股骨近端防旋髓内钉
Harris髋关节功能评分
早期手术
intertrochanteric fracture of femur
proximal femoral anti-rotation intramedullary nail
Harris hip function score
early operation
