采用不同方法治疗老年髋部骨折的临床分析  

Clinical analysis of different methods of treatment of senile hip fractures

作　　者：刘万新[1] 刘日新[1] 陈选明[1] 李春晓[1] 

机构地区：[1]广东医学院附属陈星海医院骨科,广东中山528415

出　　处：《中国医药科学》2013年第15期49-51,共3页China Medicine And Pharmacy

摘　　要：目的探讨老年患者髋部骨折采用手术治疗及非手术治疗的疗效。方法分析我院2002年11月- 2012年11月随访的286例老年髋部骨折患者的临床资料，其中非手术治疗56例，手术治疗230例。结果平均随防（18.0±9.8）个月，手术治疗平均卧床休息（1.4 ± 1.2）周，比非手术平均卧床休息时同（10.2 ±4.3周）短，手术治疗并发症发生率（25.21% ）及6个月内病死率（5.65% ）明显比非手术治疗并发症发生率（64.28% ）及6个月内病死率（21.42% ）低，髋关节功能评价采用Harris评价法，手术治疗优良率（79.57% ）高于非手术治疗（19.64% ）（P 〈 0.05 ）。结论只要做好术前评估、有效控制并存症，手术治疗老年髋部骨折是安全有效的。Objective To investigate the efficacy of surgical treatment and non-surgical treatment of senile hipfractures. Methods Clinical information of 286 patients with senile hip fractures who were followed up by our hospitalfrom November 2002 to November 2012 was analyzed,of which 56 patients received non-surgical treatment and 230patients received surgical treatment. Results After （18.0 ±9.8） months of follow-up, the surgical treatment had anaverage bed rest time of （1.4 ± 1.2） weeks, which was shorter than the （10.2 土 4.3） weeks of the non-surgical treatmentgroup;The complication rate （25.21%） and 6-month mortality rate （5.65%） of the surgical treatment were significantlyhigher than those （64.28% and 21.42%） of the non-surgical treatment group;The hip joint function evaluation usedthe Harris evaluation method;The surgical excellent and good rate （19.51%） of the surgical treatment was higher than that（19.64%） of the non-surgical treatment （P 〈 0.05）. Conclusion As long as good preoperative evaluation and effectivecontrol of complications are guaranteed, the surgical treatment of senile hip fractures is safe and effective.

关 键 词：老年人 髋部骨折 手术 

分 类 号：R683[医药卫生—骨科学]