老年股骨颈骨折患者小切口全髋关节置换术联合抗骨质疏松治疗的效果观察  

The clinical efficacy of small incision for total hip arthroplasty on osteoporosis treatment of elder patients with fracture of the femoral neck

作　　者：赵春斌 宋建军 张占山 平少华[3] 

机构地区：[1]河北省冀中能源张家口矿业集团下花园煤矿医院骨科,075300 [2]河北省开滦(集团)蔚州矿业公司医院骨科 [3]河北联合大学附属医院骨科

出　　处：《中国综合临床》2014年第9期920-922,共3页Clinical Medicine of China

基　　金：河北省医学科学研究重点课题计划项目（20100471）

摘　　要：目的 探讨小切口全髋关节置换术联合抗骨质疏松药物治疗老年股骨颈骨折的临床效果.方法 2011年1月至2013年12月收入我院的56例老年股骨颈骨折患者,按随机数字表分为观察组26例和对照组30例,两组患者均给予小切口全髋关节置换术治疗.观察组术后加服抗骨质疏松药物阿仑膦酸钠.观察两组的疗效、住院时间和骨密度的差异.结果 观察组远期疗效优良率为96.2％（25/26）,对照组为86.6％（26/30）,两组比较差异有统计学意义（x^2=4.125,P＜0.05）.观察组住院时间为（26 ±4）d,对照组为（35 ±3）d,两组比较差异有统计学意义（t=9.102,P＜0.05）.观察组术后骨密度为（0.64±0.03） g/cm^2,对照组为（0.61±0.05） g/cm^2,两组比较差异有统计学意义（t=8.461,P＜0.05）.结论 老年股骨颈骨折患者采用小切口全髋关节置换术联合抗骨质疏松药物治疗,效果好,值得临床推广使用.Objective To investigate the clinical effect of small incision for total hip arthroplasty on osteoporosis treatment of elder patients with fracture of the femoral neck.Methods Fifty-six elder patients with femoral neck methods were selected as our subjects,who were hospitalize from Jan.2011 to Dec.2013 in Xiahuayuan Meikuang Hospital,Zhangjiakou Company Limited.They were randomly divided into the observation group （26 cases） and control group （30 cases）.All patients were treated with small incision total hip arthroplasty.The patients in the observation group were given the alendronate sodium.The curative effect,hospitalization time,bone mineral density were recorded.Results The long-term efficacy of the excellent and good rate of the observation group was 96.2% （25/26）,higher than that in control group（86.6% （26/30））,and the difference was statistically significant（x^2 =4.125,P 〈 0.05）.The length of hospitalized time in observation group was （26 ± 4） d,shorter than that in the control group （35 ± 3） d,and the difference was statistically significant（t =9.102,P 〈 0.05）.The bone density of patients in the observation group was （0.64 ± 0.03） g/cm^2,higher than that in control（（0.61 ± 0.05） g/cm^2）,and there was significant difference between two groups （t =8.461,P 〈 0.05）.Conclusion The effect of small incision total hip arthroplasty combined with anti osteoporosis drugs for the treatment of femoral neck fractures in the elderly is good and worthy of clinical usage.

关 键 词：老年人 股骨颈骨折 全髋关节置换术 骨质疏松 阿仑膦酸钠 

分 类 号：R687.4[医药卫生—骨科学]