49例老年髋部骨折患者的手术治疗及预后评估研究.PDFVIP

中国现代医生 2019年7月第57卷第 19期 窑骨科医学 窑 49例老年髋部骨折患者的手术治疗及预后评估研究 张富财 郑 峰 王福荣 李 沛 青海省人民医院骨二科袁青海西宁 810000 [摘要] 目的探讨老年髋部骨折患者的手术治疗效果及预后情况遥 方法选择我院2017年3月耀2018年9月收治的 98例患者随机分为观察组渊n=49冤和对照组渊n=49冤遥对照组患者给予常规保守牵引治疗袁观察组给予手术治疗遥观 察比较两组临床疗效尧髋关节功能Harris评分及术后并发症发生情况遥 结果 观察组优良率为89.80%高于对照 2 组的79.59%袁但差异无统计学意义渊字=1.968袁P=0.161冤曰两组疗效整体比较袁差异有统计学意义渊Z=-6.928袁P= 0.000冤遥 治疗后袁两组Harris评分与治疗前比较均显著升高袁差异有统计学意义渊t=-18.663袁P=0.000曰t=-15.682袁 P=0.000冤曰且治疗后观察组Harris评分渊88.47依15.84冤分显著高于对照组渊81.36依12.56冤分袁差异有统计学意义渊t= 2.462袁P=0.016冤遥 观察组术后并发症发生率4.08%显著低于对照组的 16.33%袁差异有统计学意义渊字=4.009袁P=2 0.045冤遥 结论手术治疗老年髋部骨折临床疗效显著袁可有效改善患者髋关节功能袁减少并发症袁提高患者生活自 理能力及生活质量袁值得推广应用遥 [关键词] 髋部骨折曰老年曰髋关节功能曰保守牵引曰人工关节置换术 [中图分类号] R683.3 [文献标识码] B [文章编号] 1673-9701渊2019冤19-0095-03 Surgical treatment and prognosis evaluation of 49 elderly patients with hipfracture ZHANG Fucai ZHENG Feng WANGFurong LI Pei The Second Departmentof Orthopaedics,QinghaiProvincial Peoples Hospital,Xining 810000,China [Abstract] Objective To investigate the surgical treatment effect and prognosis of elderly patients with hip fracture. Methods 98 patients admitted in our hospital from March 2017 to September 2018 were randomly divided into obser鄄 vation group(n=49) and control group(n=49). Patients in the control group were given conventional conservative traction therapy and the observation group was given surgery. The clinical efficacy, hip function Harris score and postoperative complicationswere comparedbetweenthetwo groups. ResultsThe excellent and goodrate of the observation groupwas 89.80%,higher than that of the control group(79.59%). There was no significant difference between the two groups(字=2 1.968,P