老年股骨转子间骨折运用早期手术治疗干预的疗效研究

Study on the Effect of Early Surgical Intervention in Elderly Intertrochanteric Fractures

目的评价早期手术治疗干预对于老年股骨转子间骨折患者的临床应用价值。方法选择2020年2月—2021年2月该院就诊的84例老年股骨转子间骨折患者,根据随机数字表法进行分组,每组42例。给予对照组择期手术治疗(骨折后48 h后),观察组给予早期手术治疗(骨折后48 h内),分析两组老年股骨转子间骨折患者的并发症发生率、临床愈合时间、平均住院时间、Harris髋关节功能评分进行对比。结果观察组并发症发生率(4.76%)低于对照组并发症发生率(19.05%),差异有统计学意义(χ^(2)=4.086,P=0.043)。观察组的平均住院时间(8.35±2.05)d短于对照组平均住院时间(12.06±2.11)d,观察组Harris髋关节功能评分(93.23±3.15)分高于对照组(83.15±1.58)分,差异有统计学意义(P<0.05)。观察组生理领域(20.63±3.23)分、心理领域(19.63±3.15)分、社会关系领域(18.32±2.56)分、环境领域(19.63±3.15)分、总分(85.23±6.11)分均高于对照组(15.13±4.12)分、(15.63±4.12)分、(14.63±3.25)分、(13.11±2.14)分、(75.63±6.25)分,差异有统计学意义(t=6.808、4.998、5.780、11.095、7.118,P<0.001)。结论早期手术治疗干预可以更好地提升老年股骨转子骨折患者的恢复效果,有利于降低患者并发症,促进术后康复。

Objective To evaluate the clinical application value of early surgical intervention in elderly patients with intertrochanteric fractures.Methods 84 elderly patients with femoral intertrochanteric fracture from February 2020 to February 2021 were selected.Grouped according to random number table method,42 cases in each group.The control group was given elective surgical treatment,and the observation group was given early surgical treatment(within 48 h after fracture).The incidence of complications,clinical healing time,average hospital stay,and Harris hip function score were compared between the two groups of elderly patients with intertrochanteric fractures.Results The incidence of complications in the observation group(4.76%)was lower than that in the control group(19.05%),the difference was statistically significant(χ^(2)=4.086,P=0.043).The average length of stay in the observation group was(8.35±2.05)d shorter than that in the control group(12.06±2.11)d.The Harris hip function score in the observation group(93.23±3.15)points was higher than that in the control group(83.15±1.58)points,the difference was statistically significant(P<0.05).The observation group scored(20.63±3.23)points in the physical field,(19.63±3.15)points in the psychological field,(18.32±2.56)points in the social relationship field,(19.63±3.15)points in the environmental field,and(85.23±6.11)points in the total score.higher than the control group(15.13±4.12)points,(15.63±4.12)points,(14.63±3.25)points,(13.11±2.14)points,(75.63±6.25)points,the difference was statistically significant(t=6.808,4.998,5.780,11.095,7.118,P<0.001).Conclusion Early surgical intervention can better improve the recovery effect of elderly patients with trochanteric fractures,help reduce the complications of patients,and promote postoperative rehabilitation.