中老年人髋部骨折经关节置换与内固定治疗的临床观察

The Clinical Observation of Joint Replacement and Internal Fixation in Treatment for Hip Fracture of the Elderly

目的观察中老年人髋部骨折经关节置换与内固定治疗的临床疗效。方法选取中老年人髋部骨折患者82例,依据患者自身的意愿分为实验组和对照组,实验组应用关节置换术治疗,对照组应用内固定治疗,对比两组患者的临床效果。结果两组患者的术中出血量差异无统计学意义(P>0.05),实验组手术时间及术后下床活动时间均短于对照组,并发症发生率(4.9%)低于对照组(19.5%),术后髋关节功能优良率(90.2%)高于对照组(73.2%),差异具有统计学意义(P<0.05)。结论与内固定相比,关节置换治疗中老年人髋部骨折,具有较好的临床效果,且安全性较高。

Objective Observation the clinical efficacy of joint replacement and internal fixation in treatment of hip fracture of the elderly. Methods Select 82 cases of the elderly hip fracture patients, on the basis of the patient＇s own willingness is divided into the experimental group and the control group, experimental application of joint replacement therapy, the control group internal fixation treatment, compare the clinical effect of two groups of patients. Results The intraoperative blood loss in patients with similar between the two groups has no statistical significance（P〈0.05）, experimental operation time and postoperative bed activity time is shorter than the control group, complications（4.9%） is lower than the control group（19.5%）, postoperative hip joint function was（90.2%） was higher than that of control group（73.2%）, statistically significant difference（P〈0.05）. Conclusion Compared with the internal fixation, joint replacement treatment of hip fracture in the elderly, has good clinical effect, and high security.