人工全髋关节置换术与半髋置换术在老年股骨颈骨折治疗中的疗效研究  

Clinical effects study of artificial total hip arthroplasty and hemiarthroplasty in the treatment of elderly femoral neck fracture

作　　者：刘红卫[1] 

机构地区：[1]陕西省白水县医院骨科,陕西渭南715600

出　　处：《临床医学研究与实践》2018年第2期104-105,142,共3页Clinical Research and Practice

摘　　要：目的分析人工全髋关节置换术与半髋关节置换术在老年股骨颈骨折治疗中的临床效果。方法本次研究抽取2015年4月至2016年7月入我院治疗的66例老年股骨颈骨折患者为研究对象,依据临床不同治疗方法分为试验组和对照组,每组33例患者。其中,将接受人工全髋关节置换术的33例患者设为试验组,接受半髋置换术的33例患者设为对照组,观察对比两组老年股骨颈骨折患者的手术用时、术中出血量、总输血量、住院天数及治疗后疼痛程度。结果通过对老年股骨颈骨折患者实施不同方法治疗,试验组患者手术用时为(139.37±22.13)min,同对照组的(105.59±33.20)min比较,差异具有统计学意义(P<0.05)。两组患者的术中出血量、总输血量及住院天数比较,差异无统计学意义(P>0.05)。从术后髋关节疼痛缓解情况来看,试验组患者无痛率(72.7%)明显高于对照组(48.5%),差异有统计学意义(P<0.05)。结论在老年股骨颈骨折治疗中,人工全髋关节置换术与半髋置换术各有优势,但是人工全髋关节置换术可以使患者的疼痛程度明显缓解,因此临床需结合患者的实际情况进行选择。Objective To analyze the clinical effects of artificial total hip arthro plasty and hemiarthroplasty in thetreatment of elderly femoral neck fracture. Methods Sixty-six elderly patients with femoral neck fractures admitted in ourhospital from April 2015 to July 2016 were enrolled in this study, and divided into experimental group and control groupaccording to clinical treatment methods, with 33 cases in each group. Patients who underwent artificial total hiparthroplasty were selected as the experimental group, and patients who underwent hemiarthroplasty as the control group.The operative time, intraoperative blood loss, total blood transfusion, length of hospital stay and post-treatment pain wereobserved and compared between the two groups. Results Through the implementation of different treatment methods ofelderly patients with femoral neck fracture, the operation time of patients in the experimental group was （139.37依22.13）min, which was significantly different from （105.59 依33.20） min in the control group, the difference was statisticallysignificant（P〈0.05）. There were no significant differences between the two groups in the amount of blood loss, total bloodtransfusion and length of hospital stay （P〉0.05）. From the postoperative hip pain relief situation, the pain relief rate（72.7%） in the experimental group was significantly higher than that in the control group （48.5%）（P〈0.05）. ConclusionIn the treatment of elderly femoral neck fracture, artificial total hip arthroplasty and hemiarthroplasty both have theiradvantages, but artificial total hip arthroplasty can effectively alleviate the pain of patients, so it need to base on actualsituation of patients when choose the treatment method in clinic.

关 键 词：人工全髋关节置换术 半髋关节置换术 老年股骨颈骨折 

分 类 号：R687.3[医药卫生—骨科学]