对98例老年髋部骨折患者进行急诊手术与择期手术的效果对比

The results of emergency surgery and elective surgery were compared in 98 elderly patients with hip fracture

目的:分析并比较对98例老年髋部骨折患者进行急诊手术与择期手术的临床效果。方法:将2018年6月至2019年7月期间在西藏自治区人民政府驻成都办事处医院进行手术治疗的98例老年髋部骨折患者按照手术时机的不同分为观察组(n=49)与对照组(n=49)。对观察组患者与对照组患者分别进行急诊手术与择期手术,然后比较两组患者手术的时间、术中的出血量、术后住院的时间、术后并发症的发生率及其Harris髋关节功能评分标准(Harris)的评分。结果:两组患者手术的时间及术中的出血量相比,差异无统计学意义,P>0.05。观察组患者术后住院的时间短于对照组患者,其术后并发症的发生率低于对照组患者,差异有统计学意义,P<0.05。术前,两组患者Harris的评分相比,差异无统计学意义,P>0.05。术后一个月及术后三个月,观察组患者Harris的评分均高于对照组患者,差异有统计学意义,P<0.05。结论:与对老年髋部骨折患者进行择期手术相比,对其进行急诊手术的效果更佳,能更有效地降低其术后并发症的发生率,缩短其术后住院的时间,促进其髋关节功能的恢复。

objective:to analyze and compare the clinical effects of emergency surgery and elective surgery on 98 elderly patients with hip fracture.Methods:98 elderly patients with hip fracture who underwent surgical treatment in chengdu office hospital of the people’s government of Tibet autonomous region from June 2018 to July 2019 were divided into observation group(n=49)and control group(n=49)according to the different operation timing.Emergency surgery and elective surgery were performed on the patients in the observation group and the control group,respectively.Then,the operation time,intraoperative blood loss,postoperative hospitalization,postoperative complications,and Harris hip function score(Harris)were compared between the two groups.Results:there was no significant difference in operative time and intraoperative blood loss between the two groups(P>0.05).The duration of postoperative hospitalization in the observation group was shorter than that in the control group,and the incidence of postoperative complications was lower than that in the control group.The difference was statistically significant(P<0.05).Before surgery,there was no significant difference in Harris scores between the two groups(P>0.05).The Harris scores of patients in the observation group were higher than those in the control group one month after surgery and three months after surgery,and the difference was statistically significant(P<0.05).Conclusion:compared with elective surgery for elderly patients with hip fracture,emergency surgery is more effective in reducing the incidence of postoperative complications,shortening the duration of postoperative hospitalization,and promoting the recovery of hip function.