动力髋螺钉与股骨近端抗旋髓内钉治疗股骨粗隆间骨折患者围术期指标髋关节功能的影响

Effect of Dynamic Hip Screw and Proximal Femur on Perioperative Index and Hip Function in Patients with Intertrochanteric Femoral Fractures

目的:观察动力髋螺钉(DHS)与股骨近端抗旋髓内钉(PFNA)治疗股骨粗隆间骨折患者围术期指标、髋关节功能的影响。方法:选取2017年5月至2019年5月我院收治的106例股骨粗隆间骨折患者为对象,按照随机数字法分为对照组(n=53)和观察组(n=53),对照组采用DHS治疗,观察组采用PFNA治疗,比较两组临床疗效、手术时间、术后负重时间、住院时间、骨折愈合时间、髋关节功能(Harris)评分、Barthel指数及并发症发生率。结果:治疗后观察组总有效率为92.45%显著高于对照组的73.58%(P<0.05);观察组手术时间、术后负重时间、住院时间及骨折愈合时间均显著短于对照组,术中出血量少于对照组(P<0.05);治疗后观察组Harris评分和Barthel指数均显著高于对照组(P<0.05);观察组并发症发生率为7.55%显著低于对照组的28.30%(P<0.05)。结论:PFNA治疗股骨粗隆间骨折患者疗效显著,可提高髋关节功能和自理能力,且安全性较高,有利于促进患者预后。

Objective:To observe the effect of dynamic hip screw(DHS)and proximal femoral intramedullary screw(PFNA)on perioperative index and hip function in patients with intertrochanteric fracture of femur.Methods:106 patients with intertrochanteric fracture of the femur admitted to our hospital from May 2017 to May 2019 were selected.They were divided into control groups(N=53)and observation groups(N=53)according to the random digital method.The control group used DHS treatment.The observation group used PFNA treatment.The clinical efficacy,operation time,post-operative weight loading time,hospitalization time,fracture healing time,hip function(Harris)score,Bartel index and complication incidence were compared between the two groups.Results:The total effective rate of 92.45%was significantly higher than that of the control group 73.58%(P<0.05);The time of operation,weight loading,hospitalization and fracture healing were all significantly shorter in the observation group than in the control group,and the amount of bleeding in the operation was less than in the control group(P<0.05);The Harris score and Bartel index of the post-treatment observation group were significantly higher than those of the control group(P<0.05);The incidence of complications in the observation group was 7.55%significantly lower than 28.30%in the control group(P<0.05).Conclusion:PFNA is effective in the treatment of intertrochanteric fractures of the femur.It can improve hip joint function and self-care ability,and has higher safety,which is beneficial to promote patient prognosis.