摘要
目的 分析人工关节置换和内固定治疗用于骨质疏松性不稳定股骨粗隆间骨折的价值。方法 随机均分2022年1月-2023年12月本科接诊骨质疏松性不稳定股骨粗隆间骨折病人(n=68)。试验组采取人工关节置换术,对照组行内固定治疗。对比Harris评分等指标。结果 关于Harris评分:治疗结束时,试验组的数据达到了(89.32±2.14)分,而对照组数据则仅有(81.73±3.05)分,相比较下,试验组的髋关节功能更好(P<0.05)。关于住院时间卧床时间:试验组数据优于对照组(P<0.05)。并发症发生率:试验组低至2.94%,而对照组数据则达到了17.65%,比较发现:试验组的发生率更低(P<0.05)。VAS评分:治疗后,试验组低于(1.52±0.53)分,但对照组却达到(2.62±0.81)分,比较发现:试验组数据更低(P<0.05)。疗效优良率:试验组达到97.06%,但对照组却仅有79.41%,比较发现:试验组数据更高(P<0.05)。结论 骨质疏松性不稳定股骨粗隆间骨折用人工关节置换术,病人的卧床时间更短,病情恢复更快,并发症发生率更低,疼痛感更轻,疗效更好,髋关节功能改善也更加明显。
关键词: 骨质疏松性不稳定股骨粗隆间骨折;人工关节置换;住院时间;内固定治疗
Abstract
Objective To analyze the value of artificial joint replacement and internal fixation in the treatment of osteoporotic unstable intertrochanteric fractures of femur. Methods Patients with osteoporotic unstable intertrochanteric fracture of femur were randomly assigned from January 2022 to December 2023 (n=68). The experimental group underwent artificial joint replacement and the control group underwent internal fixation. Harris score and other indicators were compared. Results The Harris score was 89.32±2.14 in the experimental group and 81.73±3.05 in the control group at the end of treatment. The hip function of the experimental group was better than that of the control group (P < 0.05). The length of stay in bed: the experimental group was better than the control group (P < 0.05). The incidence of complications was as low as 2.94% in the experimental group and 17.65% in the control group. It was found that the incidence of complications in the experimental group was lower (P < 0.05). VAS score: After treatment, the experimental group was lower than (1.52±0.53) points, but the control group was higher than (2.62±0.81) points, and the experimental group was lower (P < 0.05). The rate of excellent and good curative effect was 97.06% in the experimental group, but only 79.41% in the control group. It was found that the data in the experimental group was higher (P < 0.05). Conclusion Arthroplasty for osteoporotic unstable intertrochanteric fracture of femur can result in shorter bed time, faster recovery, lower complication rate, less pain, better efficacy and more obvious improvement in hip function.
Key words: Osteoporotic unstable femoral intertrochanteric fracture; Artificial joint replacement; Length of hospital stay; Internal fixation therapy
参考文献 References
[1] 王智. 人工关节置换与内固定治疗高龄骨质疏松性不稳定型股骨粗隆间骨折的对比分析[J]. 中外医疗,2015, 34(27):86-88.
[2] 籍东胜. 人工关节置换与内固定治疗骨质疏松性不稳定股骨粗隆间骨折的对比探究[J]. 饮食保健,2019, 6(42): 42.
[3] 王紘,哈里丹·斯拉木. 比较人工关节置换与内固定治疗骨质疏松性不稳定股骨粗隆间骨折的疗效[J]. 世界最新医学信息文摘(连续型电子期刊),2020,18(66):11-12.
[4] 王自刚,盛文辉. 骨质疏松性不稳定股骨粗隆间骨折运用人工关节置换和 内固定治疗的疗效比较[J]. 中国伤残医学,2020,26(15):2-4.
[5] 徐力. 人工关节置换与内固定治疗骨质疏松性不稳定股骨粗隆间骨折的临床应用效果分析[J]. 中外医疗, 2021, 40(22):77-79.
[6] 朱韵. 人工关节置换与内固定治疗骨质疏松性不稳定股骨粗隆间骨折的疗效差异研究[J]. 科学养生,2021, 24(5):254.
[7] 伊涛. 人工关节置换和内固定治疗骨质疏松性不稳定型股骨粗隆间骨折的临床效果观察[J]. 中国伤残医学,2021,29(13):26-27.
[8] 吴玉宇. 人工关节置换与内固定治疗骨质疏松性不稳定股骨粗隆间骨折的效果对比[J]. 当代医药论丛,2023, 21(19):16-18.
[9] 梁清峙,钟振波,苏财有. 探讨人工关节置换与内固定治疗骨质疏松性不稳定股骨粗隆间骨折的治疗效果[J]. 临床医药文献电子杂志,2020,7(60):72-73.
[10] 刘进显. 人工关节置换与内固定治疗骨质疏松性不稳定股骨粗隆间骨折的效果对比[J]. 当代临床医刊,2023, 36(4):3-4.