老年髋部骨质疏松性骨折患者的治疗

Clinical effect of different treatment protocols for osteoporotic hip fractures in senile patients

目的 探讨不同治疗方案对老年髋部骨质疏松性骨折患者临床治疗效果。 方法 回顾性分析医院2012年1月～2015年1月收治的156例老年髋部骨质疏松性骨折患者的临床资料，对比分析不同治疗方案的临床治疗效果。 结果 保守治疗32例，优良率为56.2%；全髋关节置换治疗15例，优良率为93.3%；人工股骨头置换治疗45例，优良率为91.1%；髓内固定治疗16例，优良率为62.5%；髓外固定治疗10例，优良率为60.0%，骨牵引治疗38例，优良率为63.2%。 结论 老年髋部骨质疏松性骨折患者的治疗应根据自身条件及骨折状况选择适宜的治疗方案，同时配合一定的药物治疗和功能锻炼，可提高临床治疗效果。

Objective To investigate osteoporotic hip fracture in senile patients. the clinical effect of different treatment protocols for Methods Clinical data of 156 senile patients with osteoporosis hip fracture admitted to our hospital from Jan. 2012 to Jan. 2015 were retrospectively analyzed. The clinical effects of different treatment protocols for osteoporosis hip fracture were compared and analyzed, Results 32 cases were treated with conservative treatment, 15 cases with total hip replacement, 45 cases with artificial femoral head replacement, 16 cases with intramedullary fixation, 10 cases with extramedullary fixation, 38 cases with skeletal traction, and the excellent rate was 56.2%, 93. 3%, 91.1%, 62.5%, 60.0% and 63.2%, respectively. Conclusions An appropriate surgical treatment should be selected based on patientr s self-conditions and fracture characteristics, while combining with drugs treatment and functional exercise so as to increase the clinical effect in senile patients with osteoporotic hip fracture.