老年痴呆患者骨折的临床治疗体会

Clinical treatment of senile dementia patients with fracture

目的总结老年痴呆患者骨折的治疗体会,以供今后的临床工作参考。方法以2007年10月至2011年9月在该院骨科接受治疗的骨折并发老年痴呆患者37例为观察组,以同期收治的无痴呆老年骨折患者40例为对照组,均给予手术治疗。术后随访12个月,比较两组患者骨折恢复情况。结果与对照组相比较,观察组功能活动评分(FAQ)较高,术后并发症的发生率较高,差异有统计学意义(P<0.05)。结论并发老年痴呆的骨折患者治疗较为棘手,在临床诊疗的过程中注意对其进行重点监护,以促进其康复进程。

Objective To summarize experience of the treatment of senile dementia patients with fracture . Methods 37 cases of senile dementia patients with fracture ,treated in this hospital from Oct .2009 to Sep .2011 , were enrolled as observation group ,and 40 elderly fracture patients without senile dementia were enrolled as control group .All patients were given surgical treatment .The recovery condition of the two grups were compared after fol-low-up of 12 months .Results Compared with control group ,function activities score （FAQ） and incidence of post-operative complications was higher in observation group （P〈 0 .05） .Conclusion The treatment of senile dementia combined with fracture might be difficult .More attention should be paid for the monitoring of diseases condition to promote rehabilitation process .