CAJ | 학술논문

目的探讨小切口全髋关节置换术联合抗骨质疏松药物治疗老年股骨颈骨折的临床效果.方法 2011年1月至2013年12月收入我院的56例老年股骨颈骨折患者,按随机数字表分为观察组26例和对照组30例,两组患者均给予小切口全髋关节置换术治疗.观察组术后加服抗骨质疏松药物阿仑膦酸钠.观察两组的疗效、住院时间和骨密度的差异.结果观察组远期疗效优良率为96.2％(25/26),对照组为86.6％(26/30),两组比较差异有统计学意义(x2=4.125,P＜0.05).观察组住院时间为(26 ±4)d,对照组为(35 ±3)d,两组比较差异有统计学意义(t=9.102,P＜0.05).观察组术后骨密度为(0.64±0.03) g/cm2,对照组为(0.61±0.05) g/cm2,两组比较差异有统计学意义(t=8.461,P＜0.05).结论老年股骨颈骨折患者采用小切口全髋关节置换术联合抗骨质疏松药物治疗,效果好,值得临床推广使用.
목적 탐토소절구전관관절치환술연합항골질소송약물치료노년고골경골절적림상효과.방법 2011년1월지2013년12월수입아원적56례노년고골경골절환자,안수궤수자표분위관찰조26례화대조조30례,량조환자균급여소절구전관관절치환술치료.관찰조술후가복항골질소송약물아륜련산납.관찰량조적료효、주원시간화골밀도적차이.결과 관찰조원기료효우량솔위96.2％(25/26),대조조위86.6％(26/30),량조비교차이유통계학의의(x2=4.125,P＜0.05).관찰조주원시간위(26 ±4)d,대조조위(35 ±3)d,량조비교차이유통계학의의(t=9.102,P＜0.05).관찰조술후골밀도위(0.64±0.03) g/cm2,대조조위(0.61±0.05) g/cm2,량조비교차이유통계학의의(t=8.461,P＜0.05).결론 노년고골경골절환자채용소절구전관관절치환술연합항골질소송약물치료,효과호,치득림상추엄사용.
Objective To investigate the clinical effect of small incision for total hip arthroplasty on osteoporosis treatment of elder patients with fracture of the femoral neck.Methods Fifty-six elder patients with femoral neck methods were selected as our subjects,who were hospitalize from Jan.2011 to Dec.2013 in Xiahuayuan Meikuang Hospital,Zhangjiakou Company Limited.They were randomly divided into the observation group (26 cases) and control group (30 cases).All patients were treated with small incision total hip arthroplasty.The patients in the observation group were given the alendronate sodium.The curative effect,hospitalization time,bone mineral density were recorded.Results The long-term efficacy of the excellent and good rate of the observation group was 96.2％ (25/26),higher than that in control group(86.6％ (26/30)),and the difference was statistically significant(x2 =4.125,P ＜ 0.05).The length of hospitalized time in observation group was (26 ± 4) d,shorter than that in the control group (35 ± 3) d,and the difference was statistically significant(t =9.102,P ＜ 0.05).The bone density of patients in the observation group was (0.64 ± 0.03) g/cm2,higher than that in control((0.61 ± 0.05) g/cm2),and there was significant difference between two groups (t =8.461,P ＜ 0.05).Conclusion The effect of small incision total hip arthroplasty combined with anti osteoporosis drugs for the treatment of femoral neck fractures in the elderly is good and worthy of clinical usage.