| 郝宝东,金 冰,蔡永林,王铭远,祁国晓,冯会成.髓内固定对老年股骨转子间骨折患者关节功能的影响[J].,2020,(22):4348-4351 |
| 髓内固定对老年股骨转子间骨折患者关节功能的影响 |
| Effect of Intramedullary Fixation on the Joint Function of Elderly Patients with Intertrochanteric Fractures |
| 投稿时间：2020-02-26 修订日期：2020-03-22 |
| DOI：10.13241/j.cnki.pmb.2020.22.033 |
| 中文关键词: 股骨近端防旋髓内钉固定 股骨转子间骨折 老年 关节功能 |
| 英文关键词: Proximal femoral anti-rotation intramedullary nail Intertrochanteric fractures Elderly Function of joint |
| 基金项目:国家自然科学基金项目（61871382） |
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| 中文摘要: |
| 摘要 目的：研究髓内固定对老年股骨转子间骨折患者关节功能的影响。方法：选取2016年9月~2019年9月我院收治的股骨转子间骨折的老年患者80例为研究对象，采用随机数字表法将其分为两组，每组各40例。对照组患者采用Gamma钉进行治疗，观察组患者采用股骨近端防旋髓内钉固定治疗。比较两组患者的围术期相关指标、骨折愈合时间、Harris评分、临床治疗效果及并发症的发生情况。结果：观察组患者的手术时间、切口长度、术中出血量、术后引流量、住院时间及骨折愈合时间均显著少于或短于对照组(P＜0.05)。术前，两组患者的Harris评分比较无统计学差异(P＞0.05)；术后6个月及术后12个月，两组患者的Harris评分均较术前显著升高，且观察组显著高于对照组(P＜0.05)。观察组患者的治疗优良率为92.50 %，显著高于对照组(75.00 %，P＜0.05)。两组患者深静脉血栓、感染、褥疮、固定松动、股骨头坏死及严重疼痛的发生率比较无统计学差异(P＞0.05)。结论：股骨近端防旋髓内钉固定治疗老年股骨转子间骨折效果明显优于Gamma钉治疗，可有效缩短骨折愈合时间，提高髋关节功能。 |
| 英文摘要: |
| ABSTRACT Objective: To study the effect of intramedullary fixation on the joint function of elderly patients with intertrochanteric fractures. Methods: Eighty elderly patients with femoral intertrochanteric fractures admitted to our hospital from September 2016 to September 2019 were selected as the study subjects. They were divided into two groups by the random number table method, with 40 cases in each group. Patients in the control group were treated with Gamma nails, and patients in the observation group were treated with proximal femoral anti-rotation intramedullary nails. The perioperative related indicators, fracture healing time, Harris score, clinical efficacy and complication rate were compared between the two groups. Results: The operation time, incision length, intraoperative blood loss, postoperative drainage volume, hospital stay and fracture healing time in the observation group were less or shorter than those in the control group (P<0.05). The Harris scores of both groups at 6 months and 12 months after operation were significantly higher than those preoperation, which were significantly higher in the observation group than those in the control group (P＜0.05). The excellent and good rate of treatment in the observation group was 92.50 %, which was significantly higher than that in the control group (75.00 %, P<0.05). There was no significant difference in the incidence of deep vein thrombosis, infection, bedsore, loosening of fixation, necrosis of femoral head and severe pain between the two groups (P>0.05). Conclusion: Proximal femoral anti-rotation intramedullary nailing is significantly better than Gamma nail treatment in the treatment of elderly femoral intertrochanteric fractures, which can effectively shorten the fracture healing time and improve the hip function. |
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