75岁以上患者髋部骨折的临床分析

The treatment characteristics and effect of hip fracture in elderly patients

目的探讨高龄老年人髋部骨折的治疗特点及效果。方法分析143例75岁以上髋部（股骨颈和粗隆间）骨折患者的治疗特点及效果，其中采用非手术治疗28例，手术治疗115例，患者多伴有1种或1种以上的内科慢性疾病。结果非手术治疗组1年内死亡11例，病死率39．3％；1年内恢复至骨折前水平8例，恢复率28．5％。手术治疗组1年内死亡10例，病死率8．7％；1年内恢复至骨折前水平79例，恢复率75．3％。结论高龄髋部骨折患者行手术治疗能显著降低病死率、提高生活质量。

Objective To explore the treatment characteristics and effect of hip fracture in aged patients. Methods A retrospective analysis was performed in 143 elderly patients with hip fracture, aged 75 years and over. 28 cases received non surgery treatment and 115 cases received surgery treatment. Much of them had at least one chronic disease. The complications, preoperative preparation, operative indications, internal fixation devices, postoperative management, mortality rate and recovery rate were reviewed. Results The mortality rate of nonoperative management patients was 39.3% （11/28） in one year, and that of operative management patient was 8.7% （10/115）. The recovery rate of nonoperative management patients was 28.5% （8/28） in one year, and that of operative management patients was 75.3% （79/115）. Conclusions If full attention is paid to preoperative treatments, hip fracture of aged patients treated by operation is safe and effective.