老年人外伤性脊柱骨折的临床特点与治疗对策.docVIP

精品论文 参考文献 老年人外伤性脊柱骨折的临床特点与治疗对策 索木森1 娄宏亮2 李治国2 连霄飞2 索赛3 　　（1.冀中能源峰峰集团总医院骨三科 河北 峰峰矿区 056200） 　　（2.冀中能源峰峰集团总医院骨三科 河北 峰峰矿区 056200） 　　（3.冀中能源峰峰集团总医院骨六科 河北 峰峰矿区 056200） 　　【摘 要】目的：探讨和研究老年外伤性脊柱骨折的临床特点以及临床治疗方法和疗效。方法：随机选择100例老年外伤性脊柱骨折患者，对他们的临床特点进行观察和分析。根据自愿原则对他们进行分组（对照组和观察组）分方法（保守疗法和手术疗法）诊治，对比、分析和统计两组患者的临床治疗效果。结果：100例患者中，60～69岁患者（60%）明显高于＜70岁（30.0%）和＞80岁患者（10.0%），胸腰段骨折患者（54.0%）明显多于其他部位骨折患者，摔伤骨折患者（45.0%）明显高于其他原因骨折患者，比较均具有统计学意义（P＜0.05）。经过临床治疗，观察组患者的治疗总有效率（100.0%）明显高于对照组患者（82.86%），组间对比存在较大的差异性，具有统计学意义（P＜0.05）。结论：老年外伤性脊柱骨折多为60～69岁的胸腰段骨折患者，其骨折原因主要是摔伤，采用外科手术治疗的临床疗效显著，患者治愈率高，术后恢复良好，因此，是一种有效、科学、安全的临床治疗方法。 　　【关键词】老年外伤性脊柱骨折；外科手术；临床特点；治疗效果 　　【中图分类号】R683 【文献标识码】A 【文章编号】1004-6194（2015）01-0254-01 　　【Abstract】Objective: To investigate and research of traumatic spinal fractures in elderly clinical characteristics and clinical treatment methods and efficacy. METHODS: Randomly selected 100 cases of elderly patients with traumatic spinal fractures, their clinical characteristics were observed and analyzed. On a voluntary basis to their group (control group and observation group) sub-method (conservative therapy and surgical therapy) treatment, compared the statistical analysis and clinical treatment of the two groups of patients. Results: 100 patients, 60 to 69 year-old patient (60%) was significantly higher than lt;70 years (30.0%) andgt; 80 years old patients (10.0%), thoracolumbar fracture patients (54.0%) was higher than other parts of the fracture , falls fracture patients (45.0%) was significantly higher than that for other reasons fracture patients, comparison were statistically significant (P lt;0.05). After clinical treatment, the treatment of patients in the observation group total effective rate (100.0%) was significantly higher in patients (82.86%), there is a big contrast between the two groups difference statistically significant (P lt;0.05). Conclusion: The elderly traumatic thoracolumbar spine fractures fracture patients, mostly 60 to 69 years, mainly due to