中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2015年
18期
4-5
,共2页
抗骨质疏松治疗%髓内钉内固定%高龄%股骨粗隆间骨折%临床效果
抗骨質疏鬆治療%髓內釘內固定%高齡%股骨粗隆間骨摺%臨床效果
항골질소송치료%수내정내고정%고령%고골조륭간골절%림상효과
Anti osteoporosis treatment%Intramedullary nail%Elderly%Femoral intertrochanteric fracture%Clinical effect
目的：探讨应用抗骨质疏松治疗结合髓内钉内固定治疗高龄股骨粗隆间骨折患者的临床效果。方法：将我院收治的70例高龄股骨粗隆间骨折患者平均分为观察组和对照组。给予对照组患者髓内钉内固定治疗，给予观察组患者髓内钉内固定结合抗骨质疏松治疗，术后随访1年。结果：术前比较2组患者的髋关节功能评分（ Harris）不存在明显差异（ P＞0．05），术后1年观察组患者的髋关节功能评分明显高于对照组患者（P＜0．05），术后观察组患者的并发症发生率为11．4％，明显低于对照组患者的28．6％（ P＜0．05）。结论：应用抗骨质疏松治疗结合髓内钉内固定治疗高龄股骨粗隆间骨折患者，临床效果显著，安全性高。
目的：探討應用抗骨質疏鬆治療結閤髓內釘內固定治療高齡股骨粗隆間骨摺患者的臨床效果。方法：將我院收治的70例高齡股骨粗隆間骨摺患者平均分為觀察組和對照組。給予對照組患者髓內釘內固定治療，給予觀察組患者髓內釘內固定結閤抗骨質疏鬆治療，術後隨訪1年。結果：術前比較2組患者的髖關節功能評分（ Harris）不存在明顯差異（ P＞0．05），術後1年觀察組患者的髖關節功能評分明顯高于對照組患者（P＜0．05），術後觀察組患者的併髮癥髮生率為11．4％，明顯低于對照組患者的28．6％（ P＜0．05）。結論：應用抗骨質疏鬆治療結閤髓內釘內固定治療高齡股骨粗隆間骨摺患者，臨床效果顯著，安全性高。
목적：탐토응용항골질소송치료결합수내정내고정치료고령고골조륭간골절환자적림상효과。방법：장아원수치적70례고령고골조륭간골절환자평균분위관찰조화대조조。급여대조조환자수내정내고정치료，급여관찰조환자수내정내고정결합항골질소송치료，술후수방1년。결과：술전비교2조환자적관관절공능평분（ Harris）불존재명현차이（ P＞0．05），술후1년관찰조환자적관관절공능평분명현고우대조조환자（P＜0．05），술후관찰조환자적병발증발생솔위11．4％，명현저우대조조환자적28．6％（ P＜0．05）。결론：응용항골질소송치료결합수내정내고정치료고령고골조륭간골절환자，림상효과현저，안전성고。
Objective:To investigate the application of anti osteoporosis treatmentwith intramedullary nail in treatment of femoral inter-trochanteric fractures in the elderly patient's clinical effect.Methods:Our hospital 70 cases of elderly patients with femoral intertrochan-teric fracture were divided into observation group and control group.Given to the control group of patients with intramedullary nails in the treatment, the patients in observation group were given intramedullary nailinternal fixation combined with anti osteoporosis treatment, pa-tients were followed up for 1 years.Results:preoperative hip joint function were compared between the two groups ( Harris score) there was no significant difference (P>0.05), after 1 years observation of hip function score was significantly higher than that of the control group patients (P<0.05), the observation group of patients with postoperative complication rate was 11.4%, significantly lower than the control 28.6%groups of patients (P<0.05).Conclusion :The application of anti osteoporosis therapy combined with intramedul-lary nail in treatment offemoral intertrochanteric fractures in the elderly patients,might have a significant clinical effect, high safety.
