股骨近端抗旋髓内钉治疗老年股骨粗隆间骨折的中西医结合护理

Therapeutic effect of proximal femoral nail antirotation combining with integrated Chinese and western nursing in the treatment of femoral intertrochanteric fracture in aged

目的：观察股骨近端抗旋髓内钉（ PFNA）联合中西医结合护理对老年股骨粗隆间骨折的治疗效果。方法将72例老年股骨粗隆间骨折患者随机分为2组。 PFNA组36例予PFNA治疗，PFNA＋护理组36例在PFNA组基础上加中西医结合护理。术后每月随访2～3次，均随访18个月，观察2组并发症发生情况，比较2组髋关节功能疗效。结果2组并发症发生率比较差异有统计学意义（P＜0．05），PFNA＋护理组并发症较少。2组优良率比较差异有统计学意义（P＜0．05），PFNA＋护理组髋关节功能疗效优于PFNA组。结论 PFNA是治疗老年股骨粗隆间骨折较理想的内固定物，同时应用中西医结合护理明显缩短住院时间，减少并发症的发生。

Objective To observe the therapeutic effectiveness of proximal femoral nail antirotation com-bined with integrated Chinese and western nursing in treatment of femoral intertrochanteric fracture .Methods 72 cases of femoral intertrochanteric fracture were randomly divided into two groups：36 cases were treated with proximal femoral nail antirotation only , 36 cases were treated with integrated Chinese and western nursing besides proximal femoral nail antirotation.After surgery, patients were followed up for 2 to 3 times per month, were followed up for 18 months , the incidence of complications was observed two groups , and two groups were compared for the efficacy of hip function.Results There was significant difference between two groups on the incidence of complications （ P 〈0.05）.The numbers of postoperative complications of patients in integrative care group were markedly reduced .There was significant difference between two groups on the good rate （ P〈0.05）.The curative effect of integrative care group was obviously superior to that of proximal femoral nail antirotation surgery group .Conclusion Proximal femo-ral nail antirotation is an ideal internal fixation in the treatment of femoral intertrochanteric fracture in aged .It can shorten hospital stays and reduce complications that patients are implemented integrated Chinese and western nursing .