摘要
目的 探讨高龄老人髋部骨折的治疗方法和疗效.方法 回顾性分析2006年8月-2010年1月海南省儋州市农垦那大医院骨科收治的高龄（80岁以上）髋部骨折65例的治疗及预后.其中：男22例,女43例；年龄80～90岁,平均年龄86岁；左髋部35例,右髋部30例.43例均伴有一种以上的内科慢性疾病,采取非手术治疗18例,手术治疗47例.结果 65例均获得6～24个月（平均15个月）随访,结果采用非手术治疗组死亡10例,死亡率55.56％；采用手术治疗组死亡6例,死亡率12.73％.结论 手术治疗高龄老人髋部骨折能有效减少并发症,降低死亡率,如能顺利渡过围手术期,则能早期活动,显著提高伤后患者的生活质量.
Objective Discuss treatment method and efficacy of old elderly hip fracture. Method Review August 2006 - January 2010, analysis treatment efficacy of 65 cases hip fracture who were above 80 years old, include 22 males and 43 females, aged from 80 to 90 years old, aver- age 86 years old, there were 35 cases of left hip fracture and 30 cases of right hip fracture, witch ex- ceeded 43 cases along with chronic medical illness, in witch 18 cases were for non- surgical treat- ment and others were for surgical treatment. Results 65 cases were followed up from 6 to 24 months （average 15 months）. There were 10 deaths in non- surgical group with mortality rate 55. 56 % and 6 cases in surgical group with mortality rate 12.73. Conclusion Surgical treatment of old elderly can be effective in reducing hip fracture complications and mortality rate, if they can pass smoothly through the perioperation period, they will have early activity and can significantly im- prove the treatment of life after injury.
出处
《实用临床医药杂志》
CAS
2013年第17期145-146,共2页
Journal of Clinical Medicine in Practice
关键词
老年人
髋部
骨折
死亡率
old elderly
hip fracture
treatment of fracture
mortality
