摘要
目的探讨对高龄股骨粗隆间骨折患者采用人工髋关节置换术治疗的临床效果。方法便利选取2018年5月—2020年5月该院收治的90例高龄股骨粗隆间骨折患者展开研究,采用随机排列法分为对照组(n=45)和研究组(n=45),分别采用股骨近端抗旋转髓内钉(PFNA)内固定和人工髋关节置换术治疗,比较两组手术相关指标、关节功能评分、生活质量评分和并发症总发生率的差异。结果研究组手术时间(55.69±4.28)min和术后卧床时间(7.68±1.44)d均短于对照组手术时间(75.36±5.74)min和术后卧床时间(21.49±3.85)d,术中失血量(385.04±40.29)mL和术后引流量(120.69±15.98)mL均多于对照组术中失血量(210.67±35.77)mL和术后引流量(55.67±10.34)mL,差异有统计学意义(t=18.429、22.538、21.711、22.916,P<0.05)。研究组手术前关节功能评分与对照组相比差异无统计学意义(P>0.05);研究组术后1个月、3个月和6个月的关节功能评分均高于对照组,差异有统计学意义(P<0.05)。研究组手术前心理健康、躯体功能、社会功能和物质功能4个维度生活质量评分与对照组相比,差异无统计学意义(P>0.05);研究组手术后3个月4个维度生活质量评分均高于对照组,差异有统计学意义(P<0.05)。研究组并发症总发生率6.67%低于对照组26.67%,差异有统计学意义(χ^(2)=6.480,P<0.05)。结论人工髋关节置换术治疗高龄股骨粗隆间骨折患者相较于PFNA内固定治疗更有利于关节功能恢复,术后并发症发生率较低,在保障治疗有效性和安全性的同时促进患者早日康复,提高生活质量,临床治疗效果值得推广。
Objective To investigate the clinical effect of artificial hip arthroplasty in the treatment of elderly patients with femoral intertrochanteric fractures.Methods A study was conveniently conducted on 90 elderly patients with femoral intertrochanteric fractures who were treated in the hospital from May 2018 to May 2020 and randomly divided into control group(n=45)and study group(n=45),were treated with proximal femoral anti-rotation intramedullary nail(PFNA)internal fixation and artificial hip arthroplasty,respectively,to compare the differences in surgery-related indicators,joint function scores,quality of life scores and total incidence of complications between the two groups.Results The operation time(55.69±4.28)min and postoperative bed rest time(7.68±1.44)d in the study group were shorter than those in the control group(75.36±5.74)min and postoperative bed rest time(21.49±3.85)d,and intraoperative blood loss(385.04±40.29)mL and postoperative drainage volume(120.69±15.98)mL were higher than the control group in terms of intraoperative blood loss(210.67±35.77)mL and postoperative drainage volume(55.67±10.34)mL,and the differences were statistically significant(t=18.429,22.538,21.711,22.916,P<0.05).There was no statistically significant difference in the joint function score between the study group and the control group before surgery(P>0.05).The joint function scores of the study group were higher than those of the control group at 1 month,3 months and 6 months after operation,and the difference was statistically significant(P<0.05).There was no statistically significant difference between the study group and the control group in the four dimensions of quality of life scores of mental health,physical function,social function and material function before surgery(P>0.05);the four-dimensional quality of life scores in the study group were higher than those in the control group 3 months after surgery,and the difference was statistically significant(P<0.05)..The total incidence of complications in the study
作者
尹春日
YIN Chunri(Department of Orthopedics,Yanji Hospital,Yanbian,Jilin Province,136200 China)
出处
《中外医疗》
2022年第14期75-78,90,共5页
China & Foreign Medical Treatment
关键词
股骨粗隆间骨折
高龄患者
人工髋关节置换术
关节功能
生活质量
Femoral intertrochanteric fracture
Elderly patients
Artificial hip replacement
Joint function
Quality of life
