摘要
目的探讨分别选择骨折内固定手术以及半髋关节置换术对老年股骨颈骨折患者进行治疗后获得临床效果。方法将我院2015年6月—2020年5月收治的80例老年股骨颈骨折患者数字奇偶法分组;半髋关节置换组(40例):采用半髋关节置换术完成股骨颈骨折治疗;内固定组(40例):采用骨折内固定手术完成股骨颈骨折治疗;就组间股骨颈骨折治疗总有效率、不同时间段PSMS(躯体生活自理量表)评分、Harris(髋关节功能评分量表)评分、手术指标(卧床修养时间、手术操作时间、住院时间以及术中失血量)展开对比。结果半髋关节置换组老年股骨颈骨折患者治疗总有效率(95.00%)高于内固定组(72.50%),差异有统计学意义(P<0.05);治疗前,半髋关节置换组老年股骨颈骨折患者PSMS评分(10.87±4.93)分、Harris评分(48.05±9.39)分同内固定组比较差异无统计学意义(P>0.05);治疗后,半髋关节置换组老年股骨颈骨折患者PSMS评分(18.99±2.19)分、Harris评分(75.35±4.89)分均高于内固定组,差异有统计学意义(P<0.05);半髋关节置换组老年股骨颈骨折患者卧床修养时间(16.75±6.52)d、手术操作时间(63.59±10.99)min、住院时间(18.05±3.65)d以及术中失血量(113.11±27.17)mL均短于/少于内固定组,差异有统计学意义(P<0.05)。结论半髋关节置换术有效运用,同骨折内固定术比较,可使老年股骨颈骨折患者治疗效果显著增强,将患者自理能力以及髋关节功能显著改善,将卧床修养时间、手术操作时间、住院时间有效缩短,使术中失血量获得确切减少,最终实现老年股骨颈骨折患者有效预后。
Objective To investigate the clinical effect of fracture internal fixation and hemihip replacement for elderly patients with femoral neck fracture.Methods 80 elderly patients with femoral neck fracture admitted to our hospital from June 2015 to May 2020 were divided into two groups by digital odd-even method.Hemihip replacement group(40 cases):Hemihip replacement for femoral neck fracture treatment;Internal fixation group(40 cases):femoral neck fracture was treated with internal fixation.The total response rate of intergroup femoral neck fracture treatment,PSMS(body care scale)score and Harris(Hip joint function scale)score at different time periods were evaluated.Surgical indicators(bed rest time,operative time,length of hospital stay,and intraoperative blood loss)were compared.Results The total effective rate(95.00%)was higher in the hemihip replacement group than in the internal fixation group(72.50%)(P<0.05).Before treatment,there were no significant differences in PSMS score(10.87±4.93)and Harris score(48.05±9.39)between the semi-hip replacement group and the internal fixation group(P>0.05).After treatment,PSMS score(18.99±2.19)and Harris score(75.35±4.89)of the elderly patients with femoral neck fracture in the semi-hip replacement group were significantly higher than those in the internal fixation group(P<0.05).The length of bed rest(16.75±6.52)d,operation time(63.59±10.99)min,length of hospital stay(18.05±3.65)d,and intraoperative blood loss(113.11±27.17)mL of the elderly patients with femoral neck fracture in the semi-hip replacement group were significantly shorter than/less than those in the internal fixation group(P<0.05).Conclusion Effective use half a hip replacement,compared to fracture fixation,can make the elderly patients with femoral neck fracture treatment effect is significantly enhanced,the ability to care for patients and the hip function improved significantly,will be effective shorten time,operation time,hospital stay,reduce intraoperative blood loss to obtain exact,finally realizes the effective prognosis in elderly patients with femoral neck fracture.
作者
向原野
淳园园
杜彦辉
XIANG Yuanye;CHUN Yuanyuan;DU Yanhui(Department of Orthopedics,Guangshui Ruiyang Orthopedics Hospital,Guangshui Hubei 432700,China)
出处
《中国继续医学教育》
2021年第36期136-140,共5页
China Continuing Medical Education
