老年人股骨粗隆间骨折手术时机对预后影响临床研究.docVIP

老年人股骨粗隆间骨折手术时机对预后影响临床研究 　　[摘要] 目的 探讨老年股骨粗隆间骨折手术时机对临床预后结局的影响。方法 整群选取2015年1月―2016年1月该院收治的老年股骨粗隆间骨折患者68例为研究对象。根据患者手术时间将其分为A组与B组， A组32例，B组36例，观察两组患者不同年龄术后30 d、1年的死亡情况。结果 两组患者术后30d、1年死亡率比较差异无统计学意义，P0.05；但A组、B组患者中超过80岁的患者术后1年死亡率明显低于80岁以下年龄患者，P0.05，差异具有统计学意义。结论 年龄超过80岁的老年股骨粗隆间骨折患者术后1年死亡率相对较高。 　　[关键词] 老年股骨粗隆间骨折；手术时机；临床预后；研究价值 　　[中图分类号] R6.83.42 [文献标识码] A [文章编号] 1674-0742（2016）07（b）-0079-02 　　Clinical Study on the Effect of Surgical Timing on the Prognosis of Elderly Femoral Intertrochanteric Fracture 　　YU Hua-wei 　　Department of Orthopedic，The Second Peoples Hospital of Neijiang，Neijiang， Sichuan Province， 641000 China 　　[Abstract] Objective To investigate the effect of surgical timing on the prognosis of elderly patients with intertrochanteric fracture. Methods Group screening of 68 elderly patients with intertrochanteric fracture in our hospital from January 2015 to January 2016 were selected as the study subjects. According to the operation time of the patients， the patients were divided into A group and B group， 32 cases in A group and 36 cases in B group. The mortality of two groups of patients with different ages of 30d and 1 years after operation were observed. Results Two groups of patients after 30d， 1 year mortality rate had no significant difference， there was no statistically significant difference （P0.05）. But the group A and group B of patients over the age of 80 1 years after surgery was significantly lower than that of under 80 years of age with P0.05， the difference was statistically significant. Conclusion Elderly patients over 80 years of age were relatively high mortality rate of 1 years after surgery. 　　[Key words] Elderly intertrochanteric fracture； Operative opportunity； Clinical prognosis； Research value 　　股骨粗隆间骨折是临床上较为常见的四肢骨折类型，常见于老年人群[1]。一般情况下，采用手术切开内固定方式治疗，能够尽可能的恢复患者下肢活动能力，但临床对于老年股骨粗隆间骨折的手术指征存在一定的争议[2]。该组研究选取2015年1月―2016年1月该院收治的老年股骨粗隆间骨折患者68例，作为研究对象，探讨不同手术时机对老年股骨粗隆间骨折患者临床预后结局的影响，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　整群选取2015年1月―2016年1月该院收治的老年