PFNA结合抗骨质疏松治疗对老年股骨粗隆间骨折患者骨折愈合情况及预后的影响

Effects of PFNA Combined with Anti-osteoporosis Treatment on Fracture Healing and Prognosis of Elderly Patients with Intertrochanteric Fractures

目的:探究老年股骨粗隆间骨折患者采取股骨近端防旋髓内钉(PFNA)结合抗骨质疏松治疗对骨折愈合情况及预后的影响。方法:入选病例选取某院收治的84例老年股骨粗隆间骨折患者,收治时间为2017年1月~2019年1月期间,按随机数表法分成对照组与观察组各42例,对照组采取单纯PFNA治疗,观察组在对照组基础上给予抗骨质疏松治疗,比较两组治疗前后骨密度、髋关节功能、骨折愈合时间及预后情况。结果:相比对照组,观察组治疗后骨密度、Harris评分较高,差异有统计学意义(P<0.05);观察组骨折愈合时间与不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论:老年股骨粗隆间骨折患者采取PFNA结合抗骨质疏松治疗,可改善骨代谢,增加骨密度,促进骨折愈合,改善预后。

Objective:To investigate the effect of proximal femoral intertrochanteric fracture(PFNA)combined with anti-osteoporosis treatment on fracture healing and prognosis in elderly patients with intertrochanteric fractures.Methods:Eighty-four elderly patients with intertrochanteric fractures treated in a hospital from January 2017 to January 2019 were selected and divided into the control group(42 cases)and the observation group(42 cases)according to the random number table method.The control group was treated with PFNA alone,and the observation group was given anti-osteoporosis treatment on the basis of the control group.The bone density,hip function,fracture healing time and prognosis of the two groups were compared before and after treatment.Results:Compared with the control group,the observation group had higher bone mineral density and Harris score after treatment,and the differences were statistically significant(P<0.05);The fracture healing time and the incidence of adverse events in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Elderly patients with intertrochanteric fractures treated with PFNA and anti-osteoporosis can improve bone metabolism,increase bone density,promote fracture healing,and improve prognosis.