52例老年骨质疏松性髋部骨折患者临床治疗分析.docVIP

52例老年骨质疏松性髋部骨折患者临床治疗分析 　　【摘要】 目的 对比老年骨质疏松性髋部骨折患者的手术治疗及非手术治疗效果。方法 52例老年骨质疏松性髋部骨折患者作为研究对象， 将患者分为对照组及观察组， 每组26例。对照组患者行药物治疗， 观察组行手术治疗。观察两组患者的临床疗效、并发症发生率、骨折愈合时间及活动能力、心理及生活质量评分。结果 观察组治疗总有效率为92.3%， 明显优于对照组的69.2%， 差异具有统计学意义（P0.05）。观察组并发症发生率为19.2%， 明显低于对照组的53.8%， 差异具有统计学意义（P0.05）。观察组骨折愈合?r间为（9.11±2.35）个月， 明显短于对照组的（11.57±3.08）个月， 差异具有统计学意义（P0.05）。观察组患者活动能力、心理及生活质量评分均优于对照组， 差异具有统计学意义（P0.05）。结论 对老年骨质疏松性髋部骨折患者行手术治疗能降低并发症发生率， 减轻患者痛苦， 提高患者生活质量， 有利于患者预后。 　　【关键词】 骨质疏松；髋部骨折；药物治疗；手术治疗；临床治疗 　　DOI：10.14163/j.cnki.11-5547/r.2018.01.052 　　【Abstract】 Objective To compare the effect of surgical treatment and non-surgical treatment for patients with senile osteoporotic hip fracture. Methods A total of 52 senile osteoporotic hip fracture patients as study subjects were randomly divided into control group and observation group， with 26 cases in each group. The control group received drug therapy， and the observation group received surgical therapy. Observation were made on clinical efficacy， incidence of complications， fracture healing time， activity ability， psychological and quality of life score between two groups. Results The observation group had obviously better total treatment effective rate as 92.3% than 69.2% in the control group， and the difference was statistically significant （P0.05）. The observation group had obviously lower incidence of complications as 19.2% than 53.8% in the control group， and the difference was statistically significant （P0.05）. The observation group had obviously shorter fracture healing time as （9.11±2.35） months than （11.57±3.08） months in the control group， and the difference was statistically significant （P0.05）. The observation group had better activity ability， psychological and quality of life score than the control group， and their difference was statistically significant （P0.05）. Conclusion Surgical therapy for senile patients with osteoporotic hip fracture can lower the incidence of complications， reduce pain of patients and improve their quali