老年创伤性骨折的特点及临床治疗  

Characteristics and clinical treatment of traumatic fracture of elderly patients

作　　者：周楚坤[1,2] 

机构地区：[1]深圳市人民医院骨关节科,广东深圳518020 [2]暨南大学第二临床医学院,广东深圳518020

出　　处：《中国医药科学》2015年第22期134-136,184,共4页China Medicine And Pharmacy

摘　　要：目的探讨骨外科临床上老年创伤性骨折的特点以及其临床治疗方法,以期为该疾病患者的临床治疗方案的确定提供借鉴。方法对2012年4月~2014年4月我院骨外科收治的103例老年创伤性骨折患者临床资料进行回顾性分析,根据患者入院时的病例号,采用随机数表的方法将其分为两组,常规治疗组50例患者采用临床常规的抗生素等药物治疗,动静结合组53例患者则采用动静结合方法进行治疗,比较两组患者临床治疗的总优良率以及治疗的满意率情况。结果大部分患者是由于外伤所致,例如高处坠落、交通意外等;而少数患者并发急性或者慢性隐匿性的疾病所致,如体位性低血压、突发性晕厥以及老年性自主神经功能障碍等疾病。经过临床治疗,动静结合组患者的临床治疗总有效率为92.45%（49/53）,常规治疗组患者的临床治疗总有效率为86.00%（43/50）,两组数据差异有统计学意义（P〈0.05）;动静结合组患者的临床治疗的满意率为94.34%（50/53）,常规治疗组患者的临床治疗的满意率为82.00%（41/50）,两组数据差异有统计学意义（P〈0.01）。结论本研究结果表明,临床上导致老年人群出现创伤性骨折的因素较多并且较为复杂,对于本病的预防带来较大困难,而临床上对于这类患者采用动静结合方法进行治疗的临床效果显著优于常规的抗生素治疗,值得临床推广使用。Objective To analyze characteristics and clinical treatment of traumatic fracture of elderly patients in clinical orthopedic surgery to provide reference for clinical treatment of patients with the disease. Methods Data of 103 elderly patients with traumatic fracture who were treated in department of orthopedic surgery from April 2012 to 2014 in our hospital were retrospectively analyzed and they were allocated to the routine treatment group with 50 cases and the combination of static and dynamic group with 53 cases by random number table method according to the case number of patients when they were admitted to hospital.The routine treatment group was treated with medicine such as clinical routine antibiotics and other drugs.The combination of static and dynamic group was treated with dynamic and static combination method.Total excellent and good rate and satisfaction rate of clinical treatment of patients in two groups were compared. Results Most patients got the disease due to trauma,such as height falling,traffic accidents and so on while a few patients got the disease due to acute or chronic occult diseases such as postural hypotension, sudden syncope,senile autonomic nerve dysfunction and other diseases.After clinical treatment,total effective rate of clinical treatment of the combination of static and dynamic groups was 92.45%（49/53） while total effective rate of clinical treatment of the routine treatment group was 86.00%（43/50）.Data of two groups were significantly different（P〈0.05）.Satisfaction rate of clinical treatment of the combination of static and dynamic groups was 94.34%（50/53） while the satisfaction rate of the clinical treatment of the routine treatment group was 82.00%（41/50）. The difference of data of two groups was significant（P〈0.01）. Conclusion The study results show that factors of traumatic fracture of elderly patients in clinic are numerous and complicated while brings a lot of difficulties to prevention of the disease.Clinical effect of combination of dynam

关 键 词：老年创伤性骨折 临床特点 诱发因素 动静结合 治疗总有效率 

分 类 号：R683[医药卫生—骨科学]