摘要
目的:分析隐性失血对老年股骨转子间骨折(IFF)内固定术疗效的影响。方法:选取内固定术治疗的IFF老年患者148例,将患者平均分成试验组(74例)和对照组(74例),试验组术后给予口服铁剂治疗6周,对照组未采取任何干预。分别于术前1、d、3 d7、d、1月3、月和6月检测血红蛋白(Hb)含量,并采用功能独立性评分系统(FIM)评价患者关节功能情况。比较两组患者相关参数异同。结果:试验组患者Hb含量和FIM评分改善情况显著优于对照组,差异有统计学意义(P<0.05)。试验组术后1月、3月及6月Hb含量和FIM评分显著高于对照组(P<0.05)。两组患者术后1 d、3 d和7 d Hb含量均显著低于术前(P<0.05)。结论:隐性失血延缓老年IFF患者内固定术后功能恢复,口服铁剂是一种有效的防治方法。
Objective： To analysis the influence of hidden blood loss on curative effect of fracture fixation in elderly patients with intertrochanteric fracture（IFF）. Methods：148 cases of elderly patients with IFF,treated by fracture fixations,were selected.All patients were randomized into a study group（74 patients） receiving oral iron supplementation for 6 weeks,and a control group receiving no anti-anemic intervention.Hemoglobin levels were examined and functional recovery was evaluated using the functional independence measure（FIM）,on 1,3,7 days and 1,3,6 months postoperation.The parameters of two groups were compared. Results：The change of hemoglobin level and FIM score in study group at postoperation were significantly better than those in control group（P0.05）.Compared with control group,the hemoglobin level and FIM score on 1,3,6 months postoperation were significantly higher（P0.05）.The hemoglobin level on 1,3,7 days of postoperation in two groups were significantly lower than those of preoperation（P0.05）. Conclusion：Oral iron supplementation can effectively correct postoperation anemia and accelerate functional recovery in elderly patients with IFF.
出处
《河南医学研究》
CAS
2011年第4期428-430,共3页
Henan Medical Research
关键词
隐性失血
老年股骨转子间骨折
内固定术
疗效
hidden blood loss
intertrochanteric fracture
fracture fixation
effect
