关节假体置换术治疗老年髋关节骨折患者的临床效果
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摘要
目的观察关节假体置换术治疗老年髋关节周围骨折的临床疗效。方法选取本院2015年7月～2018年7月收治的老年髋关节周围骨折患者66例,按随机数字表法为研究组33例和对照组33例,研究组患者采用关节假体置换术治疗,对照组患者采用动力髋螺钉内固定术治疗,比较分析两组患者Harris评分、VAS评分以及并发症等情况。结果研究组治疗后Harris评分高于对照组,研究组护理后VAS评分低于对照组,并且研究组(3.03%)发症发生率低于对照组(21.21%),差异有统计学意义(P <0.05)。结论关节假体置换术可有效减轻老年髋关节周围骨折患者疼痛症状,降低并发症发生率,效果显著,值得借鉴。
Objective To observe the clinical effect of joint prosthetic replacement in the treatment of elderly patients with fractures around the hip. Methods 66 elderly patients fractures around hip were randomly divided into study group(n=33) and control group(n=33).The patients in study group were treated with joint prosthesis replacement and the patients in control group were treated with dynamic hip screw internal fixation.Harris scores,VAS scores and complications in the two groups were compared and analyzed. Results After treatment,Harris score in the study group was higher than that in the control group,and VAS score after nursing in the study group was lower than that in the control group.The incidence of incidence in the study group was 3.03%,lower than that in the control group(21.21%),and the difference was statistically significant(P < 0.05). Conclusion Joint prosthesis replacement can effectively alleviate pain symptoms and reduce the incidence of complications in elderly patients with periarticular hip fractures.The effect is significant,which is worth learning.
Objective To observe the clinical effect of joint prosthetic replacement in the treatment of elderly patients with fractures around the hip. Methods 66 elderly patients fractures around hip were randomly divided into study group(n=33) and control group(n=33).The patients in study group were treated with joint prosthesis replacement and the patients in control group were treated with dynamic hip screw internal fixation.Harris scores,VAS scores and complications in the two groups were compared and analyzed. Results After treatment,Harris score in the study group was higher than that in the control group,and VAS score after nursing in the study group was lower than that in the control group.The incidence of incidence in the study group was 3.03%,lower than that in the control group(21.21%),and the difference was statistically significant(P < 0.05). Conclusion Joint prosthesis replacement can effectively alleviate pain symptoms and reduce the incidence of complications in elderly patients with periarticular hip fractures.The effect is significant,which is worth learning.
引文
[1]周朝波.人工髋关节置换术治疗老年髋关节骨折内固定失败的临床研究[J].现代中西医结合杂志,2015,24(16):1753-1755.
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[9]程琪,郑欣,郭开今,等.组配式股骨假体在人工髋关节置换术后股骨假体周围骨折翻修中的应用[J].中华骨科杂志,2017,37(15):921-928.
[10]王刊石,周超,赵磊.老年髋关节置换术后Vancouver B型股骨假体周围骨折的手术治疗[J].实用老年医学,2015,22(11):933-935.
[11]李志昌,李儒军,柯岩,等.人工髋关节置换术后股骨假体周围骨折的分型与治疗[J].中华骨科杂志,2017,37(15):952-960.
[12]杜振宁,刘涛,李杰.髋关节置换术中MalloryⅢ型股骨假体周围骨折的治疗与分析[J].中国实用医刊,2015,42(24):14-15.
[13]张军,陈晓,曹烈虎,等.髋关节置换术后股骨假体周围骨折的分型和治疗进展[J].上海医学,2017,27(4):253-256.
[14]郭涛,张亚奎,张星火,等.人工髋关节置换术发生股骨假体周围骨折的影响因素分析[J].现代生物医学进展,2016,16(9):1731-1733.
[15]朱月新,张海涛,牛志勇,等.髋关节置换术后股骨假体周围骨折的病因分析及疗效探讨[J].实用临床医药杂志,2016,20(23):164-166.
[2]达克沃斯.骨科学[M].济南:山东科学技术出版社,2014,15(2):161-134.
[3]王勇,蒋建农,都斌,等.人工髋关节置换术后股骨假体周围骨折的分类及治疗[J].中华创伤杂志,2014,30(11):1124-1130.
[4]冯明利,沈惠良,曹光磊,等.人工髋关节置换术治疗髋部骨折内固定失败的临床研究[J].中国骨与关节损伤杂志,2014,29(2):121-123.
[5]陈骁,金毅,程旭光,等.人工髋关节置换术后股骨假体周围骨折治疗[J].中华实用诊断与治疗杂志,2015,29(12):1218-1219.
[6]郑建章,胡世平,汤发强,等.人工髋关节置换术后股骨假体周围骨折的手术治疗[J].中国临床医学,2014,21(4):418-420.
[7]唐江安,杨铁毅,王思辉,等.人工髋关节置换术后股骨假体周围骨折的分类方法及治疗[J].临床和实验医学杂志,2016,15(20):2032-2034.
[8]郭予立,林本丹,胡奕山.髋关节置换术中及术后股骨假体周围骨折的原因及其防治策略[J].海南医学,2014,25(19):2904-2907.
[9]程琪,郑欣,郭开今,等.组配式股骨假体在人工髋关节置换术后股骨假体周围骨折翻修中的应用[J].中华骨科杂志,2017,37(15):921-928.
[10]王刊石,周超,赵磊.老年髋关节置换术后Vancouver B型股骨假体周围骨折的手术治疗[J].实用老年医学,2015,22(11):933-935.
[11]李志昌,李儒军,柯岩,等.人工髋关节置换术后股骨假体周围骨折的分型与治疗[J].中华骨科杂志,2017,37(15):952-960.
[12]杜振宁,刘涛,李杰.髋关节置换术中MalloryⅢ型股骨假体周围骨折的治疗与分析[J].中国实用医刊,2015,42(24):14-15.
[13]张军,陈晓,曹烈虎,等.髋关节置换术后股骨假体周围骨折的分型和治疗进展[J].上海医学,2017,27(4):253-256.
[14]郭涛,张亚奎,张星火,等.人工髋关节置换术发生股骨假体周围骨折的影响因素分析[J].现代生物医学进展,2016,16(9):1731-1733.
[15]朱月新,张海涛,牛志勇,等.髋关节置换术后股骨假体周围骨折的病因分析及疗效探讨[J].实用临床医药杂志,2016,20(23):164-166.