老年股骨近端骨折早期治疗的临床经验与体会  

Clinical experience and experience in early treatment of proximal femoral fracture in the elderly

作　　者：高晨亮 GAO Chen-liang(Department of Orthopedics,Jinhu County People's Hospital,Huai'an 211600,China)

机构地区：[1]江苏省淮安市金湖县人民医院骨科,211600

出　　处：《中国实用医药》2024年第6期59-62,共4页China Practical Medicine

摘　　要：目的 分析早期治疗在老年股骨近端骨折中的临床疗效。方法 选取68例老年股骨近端骨折患者,随机分成择期组和早期组,每组34例。择期组行择期手术,早期组开展早期手术治疗。比较两组患者的临床疗效、康复指标(术后下床活动时间、骨折愈合时间、术后住院时间)、髋关节功能。结果组间对比,早期组总优良率94.12%(32/34)明显比择期组的76.47%(26/34)更高,差异显著(χ^(2)=4.2207, P=0.0399<0.05)。早期组术后下床活动时间、骨折愈合时间及术后住院时间分别为(42.01±4.75)h、(9.75±1.64)周、(6.41±0.71)d,均比择期组的(62.10±5.43)h、(14.61±2.30)周、(8.01±1.01)d短,差异显著(P<0.05)。术后3个月,早期组患者的疼痛、功能、关节活动范围评分分别为(37.36±2.84)、(43.14±3.22)、(4.12±0.36)分,均比择期组(31.12±3.24)、(37.18±3.59)、(3.33±0.42)分更高,差异显著(P<0.05)。结论 老年股骨近端骨折患者在疾病发生的早期进行手术治疗的效果更理想,且术后恢复情况较好,值得临床推广借鉴。Objective To analyze the clinical efficacy of early treatment for proximal femoral fracture in the elderly.Methods A total of 68 elderly patients with proximal femoral fracture were randomly divided into an elective group and an early group,with 34 cases in each group.The elective group was treated with elective surgery,and the early group was treated with early surgery.The clinical efficacy,rehabilitation indicators(time to postoperative ambulation,time of fracture healing,postoperative hospitalization time)and hip function were compared between the two groups.Results The total excellent rate of the early group was 94.12%(32/34),which was significantly higher than 76.47%(26/34)of the elective group,and the difference was significant(χ^(2)=4.2207,P=0.0399<0.05).The time to postoperative ambulation,the time of fracture healing and the postoperative hospitalization time in the early group were(42.01±4.75)h,(9.75±1.64)weeks and(6.41±0.71)d,which were shorter than(62.10±5.43)h,(14.61±2.30)weeks and(8.01±1.01)d in the elective group.The difference was significant(P<0.05).At 3 months postoperatively,the scores of pain,function and joint range of motion in the early group were(37.36±2.84),(43.14±3.22)and(4.12±0.36)points,which were higher than(31.12±3.24),(37.18±3.59)and(3.33±0.42)points in the elective group.The difference was significant(P<0.05).Conclusion In elderly patients with proximal femoral fracture,the effect of early surgical treatment is more ideal,and the postoperative recovery is better,which is worthy of clinical promotion.

关 键 词：老年股骨近端骨折 早期手术治疗 择期手术治疗 

分 类 号：R687.3[医药卫生—骨科学]