摘要
目的对比股骨颈骨折老年患者采取全髋置换术与半髋置换术治疗的临床效果。方法该次方便选择2016年1月-2018年12月该院收治股骨颈骨折老年患者68例作为研究目标,参照入院时间先后顺序分为观察组与对照组,对照组患者接受全髋置换术治疗,观察组患者接受半髋置换术治疗,记录并对比两组患者临床相关指标,评估并分析各组患者治疗前后疼痛程度及髋关节功能差异,计算两组患者术后并发症发生概率。结果观察组患者手术用时(85.89±11.02)min、术中出血量(310.55±20.14)mL、术后出血量(88.23±6.22)mL均明显少于对照组(t=7.980、20.890、7.330,P<0.05),而住院总时长(14.89±2.11)d、髋关节功能恢复时长(19.17±3.55)d则与对照组差异无统计学意义(t=0.280、0.120,P>0.05)。两组患者治疗前后疼痛评分、髋关节功能评分均差异无统计学意义(P>0.05)。另外,术后两组患者出现并发症的概率较相近,差异无统计学意义(P>0.05)。结论老年股骨颈骨折患者采取全髋置换术与半髋置换术均可达到较好的治疗效果,其中半髋置换术操作简单,对患者的伤害更小,可用作首选治疗方法。
Objective To compare the clinical effect of total hip replacement and hemihip replacement in elderly patients with femoral neck fracture. Methods The choice in January 2016 to December 2018, the hospital 68 cases of elderly patients with femoral neck fractures as were conveniently selected the research target, with reference to admission time sequence is divided into observation group and control group, control group patients undergoing total hip replacement therapy, observation group of patients treated for a half a hip replacement records and compared two groups of patients with clinically relevant indicators, evaluation and analysis of each group before and after treatment in patients with pain degree and the hip function difference, calculation of two groups of patients with postoperative complications. Results The duration of operation(85.89±11.02) min, intraoperative blood loss(310.55±20.14)mL and postoperative blood loss(88.23±6.22)mL in the observation group were significantly lower than those in the control group(t=7.980, 20.890, 7.330, P<0.05), while the total length of stay(14.89 ±2.11) d and the recovery time of hip function(19.17 ±3.55)d were not statistically significant different from those in the control group(t=0.280, 0.120, P>0.05). There was no statistically significant difference in pain scores and hip function scores between the two groups before and after treatment(P>0.05). In addition, the incidence of postoperative complications was similar between the two groups, the difference was no statistical significance(P >0.05).Conclusion In elderly patients with femoral neck fracture, both total hip replacement and hemihip replacement can achieve better therapeutic effects, among which hemihip replacement is simple to operate and less harmful to patients, which can be used as the preferred treatment.
作者
徐伟
XU Wei(Department of Orthopaedics,People's Hospital of Xinyi City,Xinyi,Jiangsu Province,221400 China)
出处
《中外医疗》
2020年第10期51-53,共3页
China & Foreign Medical Treatment
关键词
全髋置换术
半髋置换术
老年
股骨颈骨折
Total hip replacement
Hemiarthroplasty
Elderly
Femoral neck fracture
