髋关节置换治疗老年性股骨粗隆骨折的效果研究

Effect of hip replacement in the treatment of senile femoral trochanter fracture

目的观察老年性股骨粗隆骨折患者接受髋关节置换术治疗的临床效果。方法随机选取前来我院就诊的老年性股骨粗隆骨折患者45例(2014年5月~2017年8月),按照随机数字表法将所有患者分成两组,其中行髋关节置换术治疗23例患者设定为研究组,另外行钢板螺钉内固定术治疗的22例患者设定为参照组,比较不同组别患者临床相关指标、髋关节功能Harris评分及并发症等。结果研究组患者手术时间、卧床时间及住院时间均明显短于参照组,同时术中出血量明显低于参照组,组间比较有统计学意义(P<0.05);术后三个月和半年患者髋关节功能Harris评分均明显高于参照组,组间比较有统计学意义(P<0.05);研究组患者术后并发症发生率明显低于参照组,组间比较有统计学意义(P<0.05)。研究组效果更突出。结论老年性股骨粗隆骨折患者接受髋关节置换术治疗,能够有效改善患者髋关节功能,缩短患者手术时间,促进患者身体恢复缩短住院时间,还能够控制术后并发症发生,提高预后质量,临床应用价值明显。

Objective To observe the clinical effect of hip replacement for elderly patients with femoral trochanteric fracture.Methods Forty-five elderly patients with femoral trochanteric fracture who came to our hospital from May 2014 to August 2017 were randomly selected.According to the random number table method,all patients were divided into two groups.Twenty-three patient who underwent hip replacement were assigned to that study group,another 22 patients treated with plate screw internal fixation were set as the reference group.Clinical correlation index,hip joint function Harris score and complications were compared among different groups.Results The operative time,bed time and length of stay in the study group were significantly shorter than those in the reference group.Meanwhile,intraoperative blood loss was significantly lower than that in the reference group.There was a statistically significant difference between the two groups(P<0.05).The Harris score of hip joint function in three months and half a year after operation was significantly higher than that in the reference group,and there was a statistically significant difference between the two groups(P<0.05).The incidence of postoperative complications in the study group was significantly lower than that in the reference group,and there was a statistically significant difference between the two groups(P<0.05).The effect of the study group was more prominent.Conclusion The treatment of hip joint replacement for the elderly femoral trochanter fracture can effectively improve the function of the hip joint,shorten the operation time,promote the recovery of the patient and shorten the time of hospitalization,but also can control the postoperative complications,improve the quality of the prognosis,and the value of clinical application is obvious.