摘要
目的:回顾性分析我科2013年-2019年收治的586例老年高龄股骨粗隆间骨折患者,PFNA手术与保守治疗的临床疗效.方法:根据PFNA手术及保守治疗方法,分为观察组483例、对照组103例,比较2组患者的临床效果和并发症的发生率.结果:PFNA观察组患者平均住院时间(16±2.9)天、平均卧床时间为(2±1.1)天;并发症方面呼吸系统感染率为5.2%、褥疮发生率为1.2%、死亡率为1.0%,均明显低于对照组,差异具有统计学意义(P<0.05);治疗后2组患者Harris功能评分,观察组评价为优占总患者的86.7%、差占2.07%,对照组优占总患者的43.7%、差占26.2%,2组治疗方案并发症的发生率有显著性差异(P<0.05).结论:建议高龄患者股骨粗隆间骨折在耐受手术的情况下首选手术治疗,其次考虑保守疗法.无论何种治疗方法,都需要同时积极防止并发症,及早开展患肢功能训练.
Objective:A total of 586 elderly patients with intertrochanteric femoral fractures were admitted to our study from 2013 to 2019(pfna group of 483 cases and the conservative group of 103 cases).The clinical effects and incidence of complications were compared between the two groups.Results:length of hospital stay of the operation group was 16±2.9d,the postoperative bed-rest was 2±1.1d,the respiratory infection rate was 5.2%,the incidence rate of pressure sores and the mortality rate were 1.2%and 1.0%,with statistically significant difference(P<0.05).Results:After treatment,Harris function scores of operation group were 86.7%better than the conservative g ro u p,were 2.07%,with statistically significant difference(P<0.05).Conclusion:Surgical treatment was the first choice in the patient with intertrochanteric femoral fractures,followed by conservative treatment,At the same time s,early rehabilitation exercise was the effective measures to prevent complications.
作者
曾文磊
冯兴伦
杜绍龙
许小志
罗学辉
刘志波
何婉芳
欧华生
ZENG Wen-lei;FENG Xing-lun;DU Shao-long(The Sanshui hospital of Foshan of TCM,Guangdong 528100)
出处
《中国伤残医学》
2020年第14期3-4,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
高龄患者
股骨粗隆间骨折
PFNA
保守治疗
Elderly patients
Intertrochanteric fracture of femur
PFNA.
Conservative treatment
