人工股骨头置换术治疗老年人股骨颈骨折的临床价值研究  

Clinical Research on the Value of Artificial Femoral Head Replacement in Treating Femoral Neck Fractures in Elderly Patients

作　　者：白元元 BAI Yuanyuan(Department of Surgery,Yulin Honghui Hospital,Yulin Shaanxi 719006,China)

机构地区：[1]榆林鸿惠医院外科,陕西榆林719006

出　　处：《临床研究》2025年第4期33-35,共3页Clinical Research

摘　　要：目的探究老年股骨颈骨折临床手术治疗期间,应用人工股骨头置换术的价值与优势。方法选取榆林鸿惠医院2019年1月至2023年12月期间,收入的股骨颈骨折老年病例作为研究样本,共计82例,依据手术方案的差异性将其分为研究组(n=41,人工股骨头置换术)、对照组(n=41,全髋关节置换术),分析其在临床治疗效果、恢复情况、疼痛程度以及不良并发症方面的差异性。结果Harris髋关节评分情况方面,术前两组差异无统计学意义(P>0.05),但术后1个月以及3个月,研究组评分均高于对照组,差异具有统计学意义(P<0.05);临床恢复情况方面,研究组的手术时间、术中出血量以及术后引流量情况均低于对照组,差异具有统计学意义(P<0.05);疼痛评分方面,两组术后6 h差异无统计学意义(P>0.05),但在术后12 h、24 h,研究组疼痛评分均低于对照组,差异具有统计学意义(P<0.05);术后并发症发生情况方面,研究组低于对照组,差异具有统计学意义(P<0.05)。结论老年股骨颈骨折临床手术治疗期间,应用人工股骨头置换术的价值较为理想,能够提升临床治疗效果、促进临床恢复情况、改善患者疼痛程度以及免疫功能,减少不良并发症,具有临床应用意义。Objective To explore the value and advantages of artificial femoral head replacement during clinical surgical treatment of femoral neck fractures in elderly patients.Methods A total of 82 elderly patients with femoral neck fractures admitted to Yulin Honghui Hospital from January 2019 to December 2023 were selected as research subjects.Based on the differences in surgical protocols,the patients were divided into a study group(n=41,artificial femoral head replacement)and a control group(n=41,total hip arthroplasty).Differences in clinical treatment outcomes,recovery status,pain levels,immune function,and adverse complications were analyzed.Results In terms of Harris hip scores,there were no statistically significant differences between the two groups preoperatively(P>0.05).However,the study group's scores were higher than those of the control group at both 1 month and 3 months postoperatively,with statistically significant differences(P<0.05).Regarding clinical recovery,the study group had shorter operative times,less intraoperative blood loss,and lower postoperative drainage compared to the control group,with statistically significant differences(P<0.05).For pain scores,there were no significant differences between the two groups at 6 hours postoperatively(P>0.05),but at 12 hours and 24 hours postoperatively,the study group's pain scores were lower than those of the control group,with statistically significant differences(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group,with statistically significant differences(P<0.05).Conclusion The application of artificial femoral head replacement during the clinical surgical treatment of elderly femoral neck fractures shows ideal value,as it can improve clinical treatment outcomes,promote recovery,enhance pain relief and immune function,and reduce adverse complications,indicating significant clinical application value.

关 键 词：人工股骨头置换术 老年 股骨颈 骨折 临床价值 

分 类 号：R274.1[医药卫生—中医骨伤科学]