36例老年性髋部骨折治疗分析

目的观察分析老年性髋部骨折的治疗方法及效果,总结其临床治疗经验及临床意义。方法选取2009年9月～2011年9月老年性髋部骨折的患者36例,其中采取保守治疗组15例,手术治疗组21例,观察对比两组治疗效果。结果手术治疗组总有效率为90.5%;保守治疗组总有效率为60.0%,两组疗效比较存在一定的差异(P<0.05),具有统计学意义。结论对于老年性髋部骨折的患者,在满足手术指征及能够耐受手术的情况下,建议采取手术治疗,能够有助于功能恢复,降低致残率及病死率,其术式的选择应具体根据影像学检查结果、病史、病理特点等进行综合考虑,以全面改善患者的生活质量,具有重要的临床意义。

Objective Observation and analysis of senile hip fracture treatment methods and effect, to sum up the clinical treatment experience and the clinical significance. Methods From September 2009 to September 2011 in our hospital senile hip fracture in 36 cases, in which conservative treatment group of 15 cases, 21 cases in the treatment group operation, observe and compare the treatment effects of two groups. Results The operation treatment group total effectiveness is 90.5%; conservative treatment group total effective rate was 60%, two groups exist certain differences （P〈0.05）, with statistical significance. Conclusion For the elderly hip fracture patients, to meet the operation indication and can tolerate the operation situation, suggest to take operation therapy, can contribute to functional recovery, reduce morbidity and mortality, all its operation should be selected according to the imaging findings, disease history, pathologic features such as integrated into, to improve the quality of life of patients, has important clinical significance.