股骨近端防旋髓内钉联合抗骨质疏松药物治疗老年不稳定型股骨转子间骨折的临床疗效.docVIP

股骨近端防旋髓内钉联合抗骨质疏松药物治疗老年不稳定型股骨转子间骨折的临床疗效 　　[摘要] 目的 探讨股骨近端防旋髓内钉联合抗骨质疏松药物对老年不稳定型股骨转子间骨折的疗效。方法 随机选取该院2012年3月―2015年5月收治的50例老年不稳定型股骨转子间骨折患者，将其随机分为观察组和对照组，均为25例，观察组患者接受股骨近端防旋髓内钉联合抗骨质疏松药物治疗，对照组患者接受动力髋部螺钉治疗，对比两组临床疗效。结果 两组住院时间、Harris评分、骨痂出现时间、骨折愈合时间比较无差异（P0.05）；观察组Ward三角、股骨颈、股骨大转子分别为（0.875±0.022）、（1.009±0.062）、（0.880±0.032）g?cm-2，对照组分别为（0.646±0.010）、（0.799±0.017）、（0.684±0.022）g?cm-2，3组指标组间比较差异有统计学意义（P0.05）。结论 股骨近端防旋髓内钉联合抗骨质疏松药物治疗老年不稳定型股骨转子间骨折，可提升老年不稳定型股骨转子间骨折的骨密度恢复，效果显著。 　　[关键词] 股骨近端防旋髓内钉；抗骨质疏松药物；不稳定型股骨转子间骨折 　　[中图分类号] R274.1 [文献标识码] A [文章编号] 1674-0742（2016）08（c）-0020-03 　　Proximal Femoral Intramedullary Nail Combined with Anti Osteoporosis Drugs for the Treatment of Elderly Patients with Unstable Fractures of the Femoral Intertrochanteric 　　FANG Xin-you 　　Department of Orthopedics， Peoples Hospital of Zhangjiagang City Jinfeng， Zhangjiagang ，Jiangsu Province， 215600 China 　　[Abstract] Objective To investigate the effect of anti rotation and anti osteoporosis drugs in the treatment of unstable intertrochanteric fractures in elderly patients. Methods Random selected in our hospital in March 2012 to May 2015 were 50 cases of senile unstable intertrochanteric fracture patients， were randomly divided into observation group and control group， 25 cases， patients in the observation group received femoral proximal anti rotation intramedullary nail combined with anti osteoporosis drug therapy， patients in the control group treated with dynamic hip screw in the treatment， compared to two groups of clinical curative effect. Results The two groups hospitalization time， Harris score， callus time， fracture healing time was no difference（P 0.05）； observation group ward triangle， femoral neck， trochanter were（0.875±0.022），（1.009±0.062）， （0.880 ±0.032） g?cm-2， respectively in the control group （0.646± 0.010）， （0.799±0. 017）， （0.684 ± 0.022） g?cm-2， three groups of indicators between groups differences were significantly（P 0.05）. Conclusion The proximal femoral nail anti rotation in