老年股骨颈骨折围手术期中西医结合治疗的研究.pdf

3.5 中医药的作用·············································14 4 存在的问题及展望 ··········································15 4.1 存在的问题 ···············································15 4.2 展望 ·····················································16 结 论 ·····················································17 参考文献 ····················································18 综 述 ·····················································21 致 谢 ·····················································28 攻读学位期间发表的学术论文目录 ······························29 作者声明 ····················································30 个人简历 ····················································31 2 中 文 摘 要 目 的：探讨中西医结合治疗老年股骨颈骨折患者围手术期的临床疗效。 方 法：将本院 60 例老年股骨颈骨折患者作为研究对像，分为观察组 30 例和对照组 30 例，根据临床实际分别采用AO 空心加压螺钉内固定、 人工股骨头臵换和人工全髋关节臵换术 3 种手术方法。对照组采用围手 术期常规处理，观察组在中医理论指导下，在辨证论治的基础上结合老 年股骨颈骨折患者围手术期的病因病机，采用在围手术期常规处理的基 础上予以中药内服 （观察组），与围手术期常规处理（对照组）相比较 观察两组病例术后并发症的发生率。 结 果：两组在对比控制并发症的治疗中，对术后发热、下肢深静脉血 栓、褥疮、肺部感染、尿路感染、原发老年病复发或加重等方面有治疗 差异，P0.05, 差异有统计学意义；说明观察组要优于对照组。在伤口 浅表感染方面，P0.05，差异无统计学意义。 结 论：将中医药运用到老年股骨颈围手术期的整个治疗过程，能有效 预防或减少术后发热、下肢深静脉血栓、褥疮、肺部感染、尿路感染、 原发老年病复发或加重等手术并发症的发生，达到提高老年人生活质量 的目的。 关键词：老年；股骨颈骨折；围手术期；内固定术；关节臵换术 1 The integrative therapy research of femoral neck fracture of elderly people during perioperative period Abstract Objective: To explore the clinical efficacy of Integrative Medicine used in The perioperative period of Elderly people Femoral neck fracture 。 Methods : Sixty Elderly Patients with femoral neck fracture of our hospital were treated with observation and control groups, According to the clinical practice with AO cannulated lag screw fixation, hemiarthroplasty and total hip arthroplasty in three kinds of surgical methods. The control group with conventional treat