内固定与人工关节置换治疗糖尿病股骨粗隆间骨折患者的效果对比分析

Comparative Observation of the Effects of Internal Fixation and Artificial Joint Replacement on Patients with Diabetic Femoral Intertrochanteric Fractures

目的比较内固定术与人工关节置换术治疗糖尿病合并股骨粗隆间骨折患者的临床效果。方法选取2016年4月-2019年1月在该院接受手术治疗的糖尿病股骨粗隆间骨折患者共40例分为甲组和乙组,两组患者在围术期均接受血糖控制管理,在此基础上,甲组采用人工关节置换术,乙组采用内固定术,比较两组患者的血糖控制效果以及手术治疗效果。结果甲组的术中出血量、住院时长、术后血糖水平、不良反应发生率(9.52%)以及Harris评分优良率(95.24%)均明显优于乙组。结论人工关节置换术治疗糖尿病股骨粗隆间骨折患者的临床效果更为理想。

Objective To compare the clinical effects of internal fixation and artificial joint replacement in the treatment of diabetic patients with intertrochanteric fractures.Methods A total of 40 patients with diabetic femoral intertrochanteric fracture who underwent surgical treatment in our hospital from April 2016 to January 2019 were divided into group A and group B.Both groups received blood glucose control during the perioperative period.Based on this,group A used artificial joint replacement,and group B used internal fixation.The blood glucose control effect and surgical treatment effect of the two groups were compared.Results Intraoperative blood loss,length of hospital stay,postoperative blood glucose level,incidence of adverse reactions(9.52%)and Harris score excellent rate(95.24%)in group A were significantly better than those in group B.Conclusion The clinical effect of artificial joint replacement in patients with diabetic femoral intertrochanteric fracture is more ideal.