摘要
目的探索人工全髋关节置换手术在高龄患者股骨粗隆间骨折手术治疗过程中的应用价值。方法选取2019年2月—2020年8月在茌平区人民医院开展手术治疗的72例高龄患者股骨粗隆间骨折作为研究对象,采用随机抽签方法分为观察组和对照组各36例,观察组采用人工全髋关节置换手术治疗,对照组采用内固定手术治疗,评估两组患者手术时长、术中失血量、术后下地活动时间、术后相关并发症发生率及术后髋关节功能评分。结果观察组手术时长、术中失血量、术后下地活动时间等均优于对照组,差异均有统计学意义(P<0.05)。观察组术后相关并发症发生率为2.78%,低于对照组的16.67%,差异有统计学意义(χ^(2)=3.956,P<0.05)。观察组术后髋关节功能评分为(89.63±1.10)分,高于对照组的(73.60±2.34)分,差异有统计学意义(P<0.05)。结论在高龄患者股骨粗隆间骨折手术治疗过程中应用人工全髋关节置换手术的效果优于常规内固定手术治疗,值得临床推广应用。
Objective To explore the application value of total hip arthroplasty in the surgical treatment of elderly patients with femoral intertrochanteric fracture. Methods A total of 72 elderly patients with femoral intertrochanteric fracture who underwent surgical treatment in Chiping District People’s Hospital from February 2019 to August 2020 were selected as the research objects. They were divided into observation group and control group according to random lottery method,with 36 cases in each group. The observation group was treated with total hip arthroplasty,and the control group was treated with internal fixation. The operation time,intraoperative blood loss,postoperative ambulation time,incidence of postoperative complications and postoperative related hip function score were evaluated. Results The operation time,intraoperative blood loss and postoperative activity time in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05). The incidence of postoperative related complications in the observation group was 2.78%,which was lower than 16.67% in the control group,and the difference was statistically significant (χ^(2)=3.956,P<0.05). The postoperative hip function score of the observation group was(89.63 ±1.10)points,which was significantly higher than that of the control group with(73.60 ±2.34) points,and the difference was statistically significant(P <0.05).Conclusion In the surgical treatment of elderly patients with femoral intertrochanteric fracture,the intervention effect of total hip arthroplasty was better than that of conventional internal fixation,which was worthy of clinical promotion and application.
作者
李汝峰
李常奇
LI Ru-feng;LI Chang-qi(Department of Orthopedics,Chiping District People Hospital,Liaocheng Shandong Province 252100,China)
出处
《中国城乡企业卫生》
2022年第1期20-22,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
人工全髋关节置换术
高龄
股骨粗隆间骨折
Total hip arthroplasty
Advanced age
Femoral intertrochanteric fracture
