快速康复外科理念联合微创PFNA内固定治疗老年股骨粗隆间骨折的临床效果  被引量:12

Clinical effect of enhanced recovery after surgery combined with minimally invasive PFNA internal fixation in the treatment of intertrochanteric fractures of femur in the elderly

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作  者:杨再清 杨新科[1] 苏云鹏[1] 王斌[1] 牛罕敏 屈永周 YANG Zai-qing;YANG Xin-ke;SU Yun-peng;WANG Bin;NIU Han-min;QU Yong-zhou(Baoshan People's Hospital,Baoshan 678000,China)

机构地区:[1]保山市人民医院,云南保山678000

出  处:《临床医学研究与实践》2020年第9期16-18,共3页Clinical Research and Practice

基  金:保山市科技计划项目(No.2019kj18)。

摘  要:目的探讨快速康复外科理念(ERAS)联合微创PFNA内固定治疗老年股骨粗隆间骨折的临床效果。方法回顾性分析2018年6月1日至2019年6月1日于保山市人民医院行闭合复位PFNA内固定的40例老年股骨粗隆间骨折患者的临床资料,按照住院日进行序列排序,单数序号为快速康复组(ERAS组,22例),双数序号为对照组(18例)。比较两组患者的术前住院时间、术后首次下床时间、平均住院时间、手术时间、术中出血量、术前、术后1周的疼痛情况、术前、术后1个月的髋关节功能。结果ERAS组的术前住院时间、术后首次下床时间、平均住院时间、手术时间均短于对照组,术中出血量少于对照组(P<0.05)。术后1周,两组的NRS评分均降低,且ERAS组低于对照组(P<0.05);术后1个月,两组的Harris评分均升高,且ERAS组高于对照组(P<0.05)。结论ERAS联合微创PFNA内固定治疗老年股骨粗隆间骨折,能够减轻手术创伤,改善髋关节功能,促进患者康复,值得临床推广应用。Objective To explore the clinical effect of enhanced recovery after surgery(ERAS)combined with minimally invasive PFNA internal fixation in the treatment of intertrochanteric fractures of femur in the elderly.Methods The clinical data of 40 elderly patients with intertrochanteric fracture of femur who underwent closed reduction PFNA internal fixation in Baoshan people's hospital from June 1,2018 to June 1,2019 were analyzed retrospectively,according to the sequence of hospitalization days,the single number was set as rapid rehabilitation group(ERAS group,22 cases),and the double number was set as control group(18 cases).The preoperative hospitalization time,the first time of getting out of bed after operation,the average hospitalization time,the operation time,the amount of intraoperative hemorrhage,the pain before operation and one week after operation,and the function of hip joint before operation and one month after operation were compared between the two groups.Results The preoperative hospitalization time,the first time of getting out of bed after operation,the average hospitalization time and the operation time in the ERAS group were shorter than those in the control group,and the amount of intraoperative hemorrhage was fewer than that in the control group(P<0.05).One week after the operation,the NRS score in the two groups decreased,and that in the ERAS group was lower than the control group(P<0.05);one month after the operation,the Harris score in the two groups increased,and that in the ERAS group was higher than the control group(P<0.05).Conclusion ERAS combined with minimally invasive PFNA internal fixation in the treatment of senile intertrochanteric fractures of femur in the elderly can reduce the surgical trauma,improve the hip joint function,and promote the rehabilitation of patients,which is worthy of clinical promotion and application.

关 键 词:快速康复外科理念 股骨粗隆间骨折 内固定 

分 类 号:R687.3[医药卫生—骨科学]

 

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