防旋股骨近端髓内钉在老年髋部骨折中的应用-1

下载后可任意编辑防旋股骨近端髓内钉在老年髋部骨折中的应用防旋股骨近端髓内钉在老年髋部骨折中的应用 周大方 徐建 王迎 [摘要]目的 探討防旋股骨近端髓内钉在老年髋部骨折中的应用。方法 选取 20XX 年 1 月～20XX 年 2 月江苏省宿迁市工人医院和广州市红十字会医院骨科收治的 90 例老年髋部骨折患者作为讨论对象，根据等距随机抽样法分为对比组（45 例）与观察组（45 例）。对比组实行股骨近端锁定钢板治疗，观察组实行防旋股骨近端髓内钉治疗。比较两组的围术期指标（手术时间、术中出血量、透视时间、血红蛋白丢失量、离床活动时间、骨折愈合时间、住院时间），记录两组的 Harris 评分、优良率、生存质量评分、Barthel 指数、并发症总发生率。结果 观察组的手术时间、离床活动时间、骨折愈合时间、住院时间短于对比组，术中出血量、血红蛋白丢失量少于对比组，透视时间长于对比组，差异有统计学意义（P0.05）;两组术后 6 个月的 Harris 评分、生存质量评分、Barthel 指数均高于术前，差异有统计学意义（P [关键词]老年髋部骨折;防旋股骨近端髓内钉;股骨近端锁定钢板;Harris评分;Barthel 指数 [Abstract] Objective To investigate the application of anti-rotation proximal femoral nail in elderly hip fracture. Methods A total of 90 elderly patients with hip fractures who were admitted to the Department of Orthopaedics of Suqian Workers Hospital of Jiangsu Province and Guangzhou Red Cross Hospital from January 20XX to February 20XX were selected as the study objects. They were divided into the control group （45 cases） and the observation group （45 cases ） according to the isometric random sampling method. The control group was treated with proximal femoral locking plate， and the observation group was treated with anti-rotation proximal femoral nail. The perioperative indexes such as operative time， 1下载后可任意编辑intraoperative blood loss， perspective time， hemoglobin loss， time of bed movement， fracture healing time， length of hospital stay of the two groups were compared. The...