不同内固定方式(DHS和PFNA)治疗老年骨质疏松性股骨粗隆间骨折的临床效果及对睡眠质量的影响

Treatment Effect of Different Internal Fixation Methods(DHS,PFNA) on Senile Osteoporotic Intertrochanteric Fracture and its Effect on Sleep Quality

目的:探究在老年骨质疏松性股骨粗隆间骨折治疗中,使用不同内固定方式(DHS和PFNA)治疗的临床效果和对睡眠质量的影响。方法:选取2015年1月至2017年1月唐山市丰南区医院收治的老年骨质疏松性股骨粗隆间骨折患者80例,随机分为DHS组和PFNA组,DHS组接受动力髋螺钉内固定(DHS)治疗,PFNA组采用防旋型股骨近端髓内钉内固定(PFNA)治疗。观察并比较2组的临床治疗效果。结果:PFNA组治疗的优良率为92.5%,略高于DHS组的87.5%;PFNA组的手术时间短、出血量少,与DHS组比较,差异有统计学意义(P<0.05)。结论:PFNA内固定在老年骨质疏松性股骨粗隆间骨折治疗中更具优势,值得推广应用。

Objective： To explore the effect of treatment with different internal fixation methods（DHS and PFNA）in the treatment of osteoporotic intertrochanteric fracture in the elderly. Methods： From January 2015 to January 2017 as the study period,in Tangshan Fengnan Hospital,80 cases of osteoporotic intertrochanteric fractures in the elderly as observation objects,the patients were divided into the DHS group and the PFNA group randomly; the clinical effect of the 2 groups were observed and compared. Results： The excellent rate of treatment of PFNA group was 92. 5%,slightly higher than 87. 5% of DHS group,the operation time were shorter than DHS group and blood loss of PFNA group were less than DHS group,and the difference was statistically significant（P〈0. 05）. Conclusion： PFNA internal fixation methods for the treatment of osteoporotic intertrochanteric fracture in the elderly has more advantages.