摘要
目的比较老年髋部骨折患者骨折48 h内和48 h后实施手术的临床疗效。方法选取本院确诊且接受手术治疗的94例老年髋部骨折患者为研究对象,根据接受手术时机不同分为早期组(n=40)和延期组(n=54)。早期组于骨折后48 h内接受手术治疗,延期组于骨折后48 h后接受手术。比较2组手术基本指标、住院时间、并发症发生率、骨折愈合和髋关节功能Harris评分等情况。结果2组手术时间、手术出血量比较,差异无统计学意义(P>0.05);早期组住院时间、骨折愈合时间均显著短于延期组(P<0.05);2组术后切口感染、肺部感染、下肢深静脉血栓(DVT)和谵妄等并发症发生率比较,差异无统计学意义(P>0.05),但早期组手术总并发症发生率(12.50%)显著低于延期组(31.48%)(P<0.05);术后6个月,早期组Harris评分优良率(87.50%)略高于延期组(77.78%),但组间差异无统计学意义(P>0.05)。结论老年髋部骨折患者应在骨折48 h内尽早接受手术,有助于缩短住院时间和骨折愈合时间,减少并发症的发生。
Objective To explore the clinical effect of operation within 48 hours and after 48 hours of fracture in the elderly patients with hip fractures.Methods A total of 94 elderly patients with hip fractures who were confirmed and accepted surgical treatment in our hospital were selected as study objects,and were divided into early group(n=40)and delayed group(n=54)according to different timing of operation.The early group was given operation within 48 hours after fracture,while the delayed group was given operation after 48 hours of fracture.Basic operation indexes,hospitalization time,complication rate,fracture healing conditions and Harris score of hip joint function were compared between the two groups.Results There were no significant differences between the two groups in operation time and bleeding volume(P>0.05);the hospitalization time and fracture healing time in the early group were significantly shorter than those in the delayed group(P<0.05);the incidence rates of complications such as incision infection,pulmonary infection,deep vein thrombosis(DVT)of lower extremities and delirium showed no significant differences between the two groups(P>0.05),but the total complication rate of the early group was significantly lower than that of the late group(12.50% versus.31.48%,P<0.05);six months after operation,the excellent and good rate of Harris score of hip joint in the early group was slightly higher than that of the delayed group,but there was no significant difference between the two groups(87.50% versus.77.78%,P>0.05).Conclusion The elderly patients with hip fracture should receive surgeries within 48 hours after fracture,which is helpful to shorten the hospitalization time and fracture healing time,and reduce occurrence of complications.
作者
吴廷江
WU Tingjiang(The Second Department of Orthopedics,Central Hospital of Huludao City,Huludao,Liaoning,125000)
出处
《实用临床医药杂志》
CAS
2020年第16期85-87,91,共4页
Journal of Clinical Medicine in Practice
关键词
髋部骨折
老年患者
手术时机
并发症
手术效果
hip fracture
elderly patients
operative timing
complications
effect of surgery
