髋关节置换治疗高龄不稳定型股骨粗隆间骨折的临床效果观察

目的:探讨髋关节置换手术治疗高龄人群不稳定型股骨粗隆间骨折的稳定性及愈后生活质量。方法:选取我院骨科收治的110例不稳定型股骨粗隆间骨折患者作为研究对象,随机分为两组,观察组55例采用人工全髋关节置换术,对照组55例采用DHS内固定治疗,观察两组患者的手术时间、手术出血量、平均住院时间、临床疗效、术后并发症及愈后生存质量。结果:观察组手术时间及手术出血量大于对照组,但患者平均卧床时间及显著短于对照组(P0.05)。观察组手术总有效率为87.27%,对照组手术总有效率为70.90%,观察组手术效果明显优于对照组(P0.05)。观察组术后并发症发生率为7.27%,显著低于对照组(25.45%)(P0.05)。观察组患者生活质量满意度为80.00%,明显高于对照组(61.82%)(P0.05)。结论:髋关节置换手术能减少术中出血量、患者下地活动时间早,局部组织修复速度快,对于体质较差、年龄大的老年患者,该术式是延长预期寿命的最佳手术方式。

Clinical Effect Observation of Hip Replacement in the Ttreatment of Elderly Patients with Unstable Intertrochanteric Fracture

ABSTRACT Objective:To investigate the stability of hip joint replacement operation in the treatment of elderly unstable intertrochanteric fracture and the quality of life after healing. Methods:110 patients with the unstable intertrochanteric fractures who were treated in our hospital were selected and randomly divided into two groups with 55 cases in each one. The patients in the observation group were treated by the artificial total hip joint replacement, while the patients in the control group were treated by the DHS internal fixation. Then the operation time, the blood loss, the average time in bed, the clinical efficacy, the incidence of complications and the quality of life of patients in the two groups were observed and compared.Results: The operative time and blood loss in observation group were greater than in the control group, but the average time in bed was significantly shorter than in the control group (P<0.05). The total effective rate in observation group was 87.27% and 70.90% in the control group,surgical results in observation group was better than in the control group (P<0.05). The postoperative complication rate in observation group was 7.27%, significantly lower than in the control group (25.45%)(P<0.05). The satisfaction of life quality in observation group was 80.00%, significantly higher than in the control group (61.82%) (P<0.05). Conclusion:Hip replacement can reduce the amount of bleeding, activities in the fields with early time for patients, local tissue repair speed. For elderly patients with poor physical fitness and older, the operation is the best way to prolong the expectancy life.