综合治疗对老年髋部骨质疏松骨折的临床观察

CLINICAL OBSERVATION OF COMPREHENSIVE TREATMENT ON ELDERLY PATIENTS WITH HIP FRACTURE

目的探讨综合治疗对老年髋部骨质疏松骨折患者的应用效果以及对并发症的预防效果。方法选取2014年1月—2016年1月在该院接受治疗的老年髋部骨质疏松骨折患者84例,将患者分为观察组42例,给予手术配合康复、心理及多学科干预等综合治疗,对照组42例,给予患者单纯方法治疗,观察二组患者的住院时间、住院费用,同时比较二组患者并发症发生率、对治疗满意率及髋关节功能评分。结果观察组住院时间[(18.64±2.87)d]较对照组[(20.45±2.45)d]明显缩短,差异具有统计学意义(P<0.05);治疗后观察组患者并发症发生率低于对照组,差异具有统计学意义(P<0.05);观察组患者治疗后的总满意率(95.24%)高于对照组(80.95%),二组比较差异有统计学意义(P<0.05);观察组治疗后1年的髋关节Harris评分(79.14±3.65)高于对照组(75.76±5.78),差异具有统计学意义(P<0.05)。结论给予老年髋部骨质疏松骨折患者综合治疗,在不增加总治疗费用的基础上,能够有效的降低平均入院日及并发症的发生率,提高患者的满意度,临床效果显著。

Objective To investigate the effects of comprehensive treatment on the elderly patients with osteoporotic hip fracture. Methods Eightyfour cases of patients with hip osteoporotic fracture treated in author＇ s hospital from january 2014 to january 2016,the patients were divided into observation group （42 cases） were given comprehensive treatment, the control group of patients （42 cases） were treated with traditional traction treatment. Then we oberserved the length of stay, medical costs, complication, satisfaction rate and Harris score. Results Compared with control group,the length of stay of observation group was shorter,the compli- cation rate was lower,the satisfaction rate and Harris score were higher in observation group. All the above had significant differences （P〈0.05）. Conclusion The comprehensive treatment can effectively shorten the length of stay, reduce the incidence of complications,improve patient satisfaction, and have a significant clinical effect.