摘要
目的:探讨内固定方式治疗老年股骨粗隆间骨折围术期的失血特点研究。方法:选取2017年1月-2019年6月收治的老年股骨粗隆间骨折患者60例,随机分成2组,对照组患者应用切开复位股骨近端解剖锁定钛板固定方案,观察组患者应用闭合复位PFNA髄内钉内固定术方案,对比2组患者A0分型与隐性失血量,比较2组患者手术情况,包括手术时间,显性失血量和隐性失血量。结果:观察组各分型隐性失血量明显低于对照组(P<0.05),观察组手术时间明显长于对照组,显性失血量明显多于对照组,隐性失血量明显少于对照组(P<0.05)。结论:对患有股骨粗隆间骨折的老年患者,在进行内固定的方案时,选择内固定方式治疗效果显著,可将患者围术期内临床的失血量尽心有效的控制,保证预后水平的改善,该方案应用效果明显,可在临床应用推广。
Objective:To investigate the characteristics of perioperative blood loss in the treatment of senile intertrochanteric fractures with internal fixation,methods:January 2017-June 2019 were analyzed in elderly patients with femoral intertrochanteric fracture of 60 patients,randomly divided into two groups,control group patients use open reduction of proximal femur anatomic locking titanium plate fixation,with closed reduction and PFNA group patients intramedullary nail fixation,compared two groups of patients AO classification and hidden blood loss,compared two groups of patients with surgery,including operation time,dominant blood loss and hidden blood loss.Results:The recessive blood loss of each type in the study group was significantly lower than that in the control group(P<0.05),the operation time in the study group was significantly longer than that in the control group,the dominant blood loss was signiiicantly higher than that in the control group,and the recessive blood loss was significantly lower than that in the control group(P<0.05).Conclusion:For the elderly patients with intertrochanteric fractures,the closed reduction PFNA intramedullary fixation scheme has a significant effect,which can effectively control the perioperative clinical blood loss of the patients and ensure the improvement of the prognosis.The application effect of this scheme is obvious and can be promoted in clinical application.
作者
司春祥
SI Chun-Xiang(Linyi County Hospital of Traditional Chinese Medicine,Linyi,Shandong 251507)
出处
《中国伤残医学》
2021年第14期4-6,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
内固定方式
老年股骨粗隆间骨折
围术期
失血特点
Internal fixation
Intertrochanteric fracture of femur in the elderly
Perioperative period
Blood loss characteristics
