碳酸钙D3片联合股骨近端防旋髓内钉内固定治疗老年股骨粗隆间骨折疗效观察

Treatment of Intertrochanteric Fracture of Femur in Elderly Patients with Calcium Carbonate D3 Combined with Proximal Femoral Anti-Rotation Intramedullary Nail

目的分析老年股骨粗隆间骨折患者采用碳酸钙D3片联合股骨近端防旋髓内钉(PFNA)内固定治疗的效果。方法选取2017年6月—2018年11月该院老年股骨粗隆间骨折患者68例,依照治疗方案不同分为联合组(n=34)与手术组(n=34)。手术组予以PFNA内固定治疗,联合组在手术组基础上予以碳酸钙D3片治疗。对比两组疗效、住院时间、骨折愈合时间。结果联合组总有效率为94.12%(32/34),高于手术组67.64%(23/34),差异有统计学意义(P<0.05);联合组住院时间、骨折愈合时间较手术组短,差异有统计学意义(P<0.05)。结论在PFNA内固定治疗老年股骨粗隆间骨折基础上加用碳酸钙D3片效果显著,并可加快患者康复进程。

Objective To analyze the effect of calcium carbonate D3 combined with proximal femoral anti-rotation intramedullary nail(PFNA)in the treatment of intertrochanteric fracture in elderly patients.Methods From June 2017 to November 2018,68 elderly patients with femoral intertrochanteric fracture in our hospital were selected and divided into combined group(n=34)and operation group(n=34)according to different treatment schemes.The operation group was treated with PFNA internal fixation,and the combined group was treated with calcium carbonate D3 tablets on the basis of the operation group.The curative effect,hospitalization time and fracture healing time were compared between the two groups.Results The total effective rate of the combined group was 94.12%(32/34),higher than that of the operation group 67.64%(23/34),the difference was statistically significant(P<0.05);the hospitalization time and fracture healing time of the combined group were shorter than those of the operation group,the difference was statistically significant(P<0.05).Conclusion On the basis of PFNA internal fixation for the treatment of intertrochanteric fracture of femur in the elderly,calcium carbonate D3 tablets are effective and can accelerate the rehabilitation process of the patients.