手术和非手术治疗老年股骨粗隆间骨折的临床疗效及负性情绪观察

Clinical efficacy of surgical and non-surgical treatment on negative emotion in elderly patients with intertrochanteric fracture of femur

目的探讨分析老年股骨粗隆间骨折采用手术和非手术治疗的临床疗效。方法选取本院2019年12月~2020年11月期间接受防旋股骨近端髓内钉(PFNA)手术治疗的老年股骨粗隆间骨折患者60例作为观察组,同时选取一般资料相匹配的非手术治疗的60例老年股骨粗隆间骨折患者作为对照组。观察比较两组患者的治疗有效率、Harris评分并发症发生情况及治疗前后的凝血功能指标、血液相关指标、焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分。结果(1)观察组患者的治疗有效率(96.67%)高于对照组(86.67%)(P<0.05)。(2)治疗后,观察组患者的SAS评分和SDS评分低于对照组(P<0.05)。(3)治疗后,观察组患者的Harris评分明显高于对照组(P<0.05)。(4)治疗后,观察组患者的活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)和C反应蛋白(H-CRP)高于对照组,超肌红蛋白(Myo)和肌酸磷酸酶(CK)低于对照组(P<0.05)。(5)观察组患者并发症总发生率(5.00%)低于对照组(16.67%)(P<0.05)。结论手术治疗老年股骨粗隆间骨折的疗效优于非手术治疗,可改善患者负面心理状态,提高患者的髋关节功能,改善凝血功能指标、血液相关指标,降低相关并发症的发生,值得临床中推广应用。

Objective To investigate the clinical efficacy of surgical and non-surgical treatment on negative emotion in elderly patients with intertrochanteric fracture of femur.Methods A total of 60 elderly patients with intertrochanteric fracture who received the proximal femoral nail antirotation(PFNA)surgery from December 2019 to November 2020 in our hospital were selected as the observation group,and 60 elderly patients with non-surgical treatment of intertrochanteric fracture with general information matching were selected as the control group.The effective rate,Harris score,incidence of complications,coagulation function indexes,blood related indexes,self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score before and after treatment between two groups were compared.Results(1)The effective rate of observation group(96.67%)was higher than that of the control group(86.67%)(P<0.05).(2)After treatment,SAS score and SDS score in the observation group were lower than those in the control group(P<0.05).(3)After treatment,the Harris score in the observation group was significantly higher than that in the control group(P<0.05).(4)After treatment,APTT,PT and H-CRP in the observation group were higher than those in the control group,while Myo and CK were lower than those in the control group(P<0.05).(5)The total incidence of complications in the observation group(5.00%)was lower than that in the control group(16.67%)(P<0.05).Conclusion Surgical treatment of senile intertrochanteric fracture is more effective than non-surgical treatment,which can improve the negative psychological state,improve the hip function,improve the indicators of coagulation function and blood related indicators,and reduce the incidence of related complications,which is worthy of clinical application.