摘要
目的比较内固定术与人工髋关节置换术治疗老年股骨转子间骨折的效果。方法抽取2018年1月至2022年6月平顶山市第二人民医院收治的老年股骨转子间骨折患者80例,按随机数字表法分为对照组与观察组,每组40例。观察组采用人工髋关节置换术,对照组采用内固定术。比较两组髋关节功能优良率、围术期情况、并发症发生率。比较两组治疗前及治疗3个月后髋关节功能Harris评分、Barthel指数。结果观察组优良率(95.00%,38/40)高于对照组(80.00%,32/40),差异有统计学意义(χ^(2)=4.11,P=0.043)。观察组手术时间长于对照组,术中出血量多于对照组,下床活动时间和住院时间均短于对照组(P<0.05)。术后3个月,观察组疼痛、活动度、步行能力、畸形评分高于对照组(P<0.05)。术后3个月,观察组Barthel指数高于对照组(P<0.05)。观察组并发症发生率(2.50%,1/40)低于对照组(20.00%,8/40),差异有统计学意义(χ^(2)=4.51,P=0.034)。结论与内固定术相比,人工髋关节置换术治疗老年股骨转子间骨折会延长手术时间、增加出血量,但能降低并发症发生率,加快患者术后恢复,改善机体功能。
Objective To compare the curative effect of internal fixation and hip replacement on elderly patients with intertrochanteric fractures.Methods A total of 80 elderly patients with intertrochanteric fractures in Pingdingshan Second People’s Hospital from January 2018 to June 2022 were selected,and they were divided into control group and observation group by random number table method,with 40 cases in each group.The observation group received hip replacement,and the control group received internal fixation.The excellent and good rate of hip function,perioperative condition,and incidence of complications were compared between the two groups.The Harris hip function score and Barthel index were compared between the two groups before treatment and 3 months after treatment.Results The excellent and good rate of hip function of the observation group was 95.00%(38/40),higher than the 80.00%(32/40)the of control group(χ^(2)=4.11,P=0.043).Compared with the control group,the observation group had longer operation time,more intraoperative bleeding,shorter time of getting out of bed,and shorter hospital stay(P<0.05).Three months after surgery,the scores of pain,range of motion,walking ability and deformity in the observation group were higher than those in the control group(P<0.05).Three months after surgery,the Barthel index in the observation group was higher than that in the control group(P<0.05).The incidence of complication of the observation group(2.50%,1/40)was lower than that of the control group(20.00%,8/40),and the difference was significant(χ^(2)=4.51,P=0.034).Conclusions Compared with internal fixation,hip replacement in the treatment of intertrochanteric fracture in elderly patients can prolong the operation time,increase the amount of blood loss,reduce the incidence of complications,accelerate postoperative recovery,and improve body function.
作者
张仕锋
赵学寨
刘明辉
张小雷
黄敬敬
苏彩风
Zhang Shifeng;Zhao Xuezhai;Liu Minghui;Zhang Xiaolei;Huang Jingjing;Su Caifeng(Department of Orthopedics I,Pingdingshan Second People’s Hospital,Pingdingshan 467000,China)
出处
《中国实用医刊》
2023年第11期32-35,共4页
Chinese Journal of Practical Medicine