摘要
目的 探讨老年股骨颈骨折患者采用人工股骨头置换术治疗的临床效果。方法 选取山东省博兴县中医医院于2021年1月—2023年1月收治的60例股骨颈骨折老年患者为研究对象,按照随机抽签法分为对照组与观察组,每组30例。对照组采取全髋关节置换术治疗,观察组采取人工股骨头置换术治疗,比较两组的临床疗效、手术相关指标和髋关节功能。结果 与对照组相比,观察组的手术时间和住院时间更短、术中出血量和术后引流量更少,差异有统计学意义(P均<0.05)。观察组的优良率为93.33%,高于对照组的73.33%,差异有统计学意义(χ^(2)=4.320,P=0.038)。观察组的髋关节功能评分高于对照组,差异有统计学意义(P<0.05)。结论 针对高龄老年人的股骨颈骨折问题,人工股骨头置换术可以降低患者术中出血量,缩短住院时间,治疗效果较好,值得临床参考。
Objective To investigate the clinical effect of artificial femoral head replacement in elderly patients with femoral neck fracture.Methods A total of sixty elderly patients with femoral neck fracture who received treatment in the Boxing County Hospital of Traditional Chinese Medicine of Shandong Province from January 2021 to January 2023 were selected as the study objects,and were divided into control group and observation group according to random drawing method,with thirty cases in each group.The control group was treated with total hip replacement,and the ob-servation group was treated with artificial femoral head replacement.The clinical efficacy,operative indexes and hip function of the two groups were compared.Results Compared with the control group,the operation time and hospital stay in the observation group were shorter,and the intraoperative blood loss and postoperative drainage volume were less,the differences were statistically significant(all P<0.05).The excellent and good rate of observation group was 93.33%,which was higher than that of control group(73.33%),and the difference was statistically significant(χ^(2)=4.320,P=0.038).The hip function score of the observation group was higher than that of the control group,and the dif-ference was statistically significant(P<0.05).Conclusion For the elderly patients with femoral neck fracture,artificial femoral head replacement can reduce the amount of intraoperative blood loss and shorten the hospital stay,and the therapeutic effect is good,which is worthy of clinical reference.
作者
谢斌
孙海霞
王振兴
XIE Bin;SUN Haixia;WANG Zhenxing(Department of SurgeryⅡ,Boxing County Hospital of Traditional Chinese Medicine,Boxing,Shandong Province,256500 China;Shandong Boxing Experimental Middle School,Boxing,Shandong Province,256500 China)
出处
《系统医学》
2024年第11期106-108,112,共4页
Systems Medicine
关键词
人工股骨头置换术
全髋关节置换术
老年股骨颈骨折
治疗效果
Artificial femoral head replacement
Total hip replacement
Femoral neck fracture in the elderly
Therapeutic effect
