CAJ | 학술논문

目的探讨适用于基层医院老年人股骨粗隆部骨折的诊治流程.方法参考一定的评价体系,结合基层医院及老年股骨粗隆部骨折患者的特点,建立治疗风险评估标准,初步形成一套适用基层医院老年人股骨粗隆部骨折的诊治流程,并于2010年12月至2012年1月在三家基层医院试推广应用,检验其可行性和有效性.结果三家基层医院共收治66例老年股骨粗隆部骨折患者,留治38例,其中保守治疗27例,24例骨折愈合,手术11例,无失败病例,治愈率为89.5％；上送病例手术率达90.3％,骨折2d内上送比例54.8％,早期并发症发生率25.8％.结论初步建立的基层医院老年人股骨粗隆部骨折诊治流程和治疗风险评估标准简捷实用、确实可行、效果良好,有一定的临床推广价值.
목적 탐토괄용우기층의원노년인고골조륭부골절적진치류정.방법 삼고일정적평개체계,결합기층의원급노년고골조륭부골절환자적특점,건립치료풍험평고표준,초보형성일투괄용기층의원노년인고골조륭부골절적진치류정,병우2010년12월지2012년1월재삼가기층의원시추엄응용,검험기가행성화유효성.결과 삼가기층의원공수치66례노년고골조륭부골절환자,류치38례,기중보수치료27례,24례골절유합,수술11례,무실패병례,치유솔위89.5％；상송병례수술솔체90.3％,골절2d내상송비례54.8％,조기병발증발생솔25.8％.결론 초보건립적기층의원노년인고골조륭부골절진치류정화치료풍험평고표준간첩실용、학실가행、효과량호,유일정적림상추엄개치.
Objective To explore the appropriat.e treatment process for elderly patients with intertrochanteric fracture in primary hospitals.Methods According with the evaluation system and the characteristics of the grassroots hospitals and elderly patients with intertrochanteric fractures,the treatment standards for risk assessment was established,and the appropriate treatment process for intertrochanteric fracture in elderly patients in primary hospitals was initially formed and tried to promote applications in three primary hospital from December 2010 to January 2012,and its feasibility and effectiveness were tested.Results 66 elderly patients with intertrochanteric fracture were treated in three primary hospital,and 38 cases were hospitalized in primary hospital,including 24 cases of osseous union in 27cases treated with expectant treatment,11 cases of surgical treatment,and the cure rate was 89.5％.Sent on the operation rate of 90.3％ cases,54.8％ of cases occurred within 2 days.The incident of complications in early stage was 25.8％.Conclusion The diagnosis and treatment process and assessment criteria of treatment risk for elderly patients with intertrochanteric fracture in the primary hospital which is initial established is simple,practical,practicable,and has good effect and certain clinical value.