中西医结合治疗高龄股骨转子间骨折

Discussion on treatment of senile patients with intertrochanteric fracture by integrated Chinese and western medicine

目的:探讨中西医结合治疗高龄患者股骨转子间骨折围手术期常见并发症的防治,提高救治水平。方法:80例65岁以上高龄股骨转子间骨折患者,均早期进行手术治疗,围手术期常见并发症采用中西医结合治疗,进行随访填写CRF表,分析观察临床疗效。结果:平均随访1.8年,80例病例中共有5位患者去世,其余病人均骨性愈合,疗效评价:优32(40%)、良40(50%)、差8(10%),总优良率90%,其中治疗组优良率为95%,高于对照组的85%。结论:1中西医结合在高龄股骨转子间骨折围手术期并发症防治方面,有良好的临床疗效。2早期预防优于后期治疗,可显著减少并发症,缩短患者治疗周期。3入院后即开始分析评价,早期进行康复锻炼对患者恢复大有帮助。

Objective： To investigate the treatment and prevention of complications for senile patients with intertrochanteric fracture by integrated Chinese and western medicine in the perioperative period in order to improve the treatment level. Methods： 80 cases above 65 years old with intertrochanteric fracture were given operation in early stage and given treatment of Chinese and western medicine in the perioperative period and followed up by CRF. The clinical efficacy was observed. Results： During the follow- up of 1.8 years, 5 patients passes away among 80 cases, other patients were cured, the assessment of the curative effects： 32 cases were excellent（40%）, 40 cases good（50%）, 8 cases poor（10%） , the total excellent rate was 90%, 95% for the treatment group higher than that of the control group 85%. Conclusion：①Integrated Chinese and western medicine has an excellent effect on the treatment and prevention of complications in elderly patients with femoral intertrochanteric fracture in the perioperation period.②Early prevention is better than treatment of late,which can significantly reduce complications and shorten the treatment period.③Analysis and evaluation of began after admission and early rehabilitation exercise is good for the recovery.