骨水泥型人工髋关节治疗股骨颈骨折的疗效  

Curative effect and intervention measuers of bone cement type artificial hip joint for treatment fo femoral neck fracture

作　　者：徐斌[1] 马锐[1] 陈建常[1] 滕勇[1] 马在松[1] 安伟[1] 张春浩[1] 

机构地区：[1]兰州军区乌鲁木齐总医院全军骨科中心,新疆乌鲁木齐830000

出　　处：《中国伤残医学》2016年第12期1-3,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：比较骨水泥型人工全髋关节与股骨头置换术治疗股骨颈骨折的疗效，提出具体护理干预措施。方法：回顾性分析2008年1月～2012年1月，我院83例股骨颈骨折行骨水泥型关节置换术的高龄患者为研究对象，其中行人工全髋关节置换术52例（A组），人工股骨头置换术31例（B组），获得如年龄、性别、手术类型、术后引流量等信息，并随访分析。结果： A组手术时间、术中出血量均大于B 组，有统计学意义（P＜0．05），但A组与B组在术后引流量、下床时间、弃拐时间的比较，差异均无统计学意义（P＞0．05）。术后3个月、6个月、1年、3年，A组Harris评分明显高于B组，统计学差异显著（P＜0．05）。随访时间3～5年，平均4．1年，12例在术后3年后失访；1例出现手术部位感染，2例术后3．5年死于肺部感染，2例术后死于心脑血管疾病，3例死于其他疾病；末次随访时间，7例需辅助行走。随访期间未见假体松动及断裂。结论：通过加强围手术期各个环节改善，增加机体耐受力，尽量采用人工全髋关节置换术，以提高患者生活质量。Objective：To compare the efficacy of bone cement type artificial total hip and femoral head replacement for the treatment of femoral neck fracture , put forward specific nursing intervention measures .Methods：Retrospective analysis of 2008 January to 2012 Janu-ary, elderly patients undergoing cemented hip replacement in our hospital 83 cases of femoral neck fracture , the total hip arthroplasty in 52 cases （group A）, 31 with femoral head replacement （group B）, obtain the type of operation, postoperative drainage volume and other information, and follow-up analysis.R esults： In A group the operative time and the amount of bleeding during operation were higher than those of B group, there were statistically significant （P〈0.05）, but the A group and B group in postoperative drainage , get out of bed time and postoperation time comparison , the differences were not statistically significant （P〉0.05）.After March , June, 1 years, 3 years,Harris score of A group was significantly higher than that of B group , a statistically significant difference （ P〈0.05） .Followed up for 3-5 years, an average of 41. years, 12 cases after 3 year lost;surgical site infection occurred in 1 patients, 2 cases after 3.5 years died of lung infection , 2 patient died of cardiovascular and cerebrovascular diseases , 3 patients died of other diseases;the last follow-up, 7 patients needed walker to walk .No prosthesis loosening and fracture during the follow -up period.Conclusion：By strengthening the perioperative intervention measures , increase the body＇s endurance , as far as possible the use of artificial hip replacement , in order to improve the quality of patients life .

关 键 词：骨水泥型 股骨颈骨折 病例对照研究 

分 类 号：R687.4[医药卫生—骨科学]