人工髋关节置换术治疗高龄患者股骨粗隆间骨折的临床疗效研究

目的:探究人工髋关节置换术治疗高龄患者股骨粗隆间骨折的临床疗效。方法:选择40例高龄股骨粗隆间骨折患者并将其随机分为两组,观察组给予人工髋关节置换术治疗,对照组经股骨近端髓内钉内固定术治疗。观察比较两组L2-4椎体骨密度、疼痛程度、髋关节功能恢复情况及Harris评分。结果:治疗后,两组L2-4椎体骨密度均显著高于治疗前(P0.05),且观察组显著高于对照组(P0.05);观察组疼痛比例较治疗前明显降低(P0.05),且显著低于对照组(P0.05);观察组髋关节恢复优良率为95.0%,显著高于对照组(70.0%,P0.05);两组Harris评分均显著高于治疗前(P0.05),且观察组显著高于对照组(P0.05)。结论:采用人工髋关节置换术治疗高龄股骨粗隆间骨折的疗效明显优于经股骨近端髓内钉内固定术治疗,其可有效促进髋关节功能恢复,减轻患者疼痛。

Clinical Effect of Hip Replacement and Conservative Treatment for the Femoral Neck Fracture in the Elderly Patients

ABSTRACT Objective: To explore the clinical efficacy of artificial hip replacement in the treatment of femoral neck fractures in el- derly patients. Methods: 40 cases of elderly patients with femoral neck fracture were randomly divided into two groups, the observation group was treated by total hip replacement, and the control group was treated with proximal femoral nailing. Then the L2-4 bone mineral density, pain situation, hip function recovery and Harris score were compared between two groups. Results: After treatment, the L2-4 bone mineral density of both groups were significantly higher than those before treatment (P<0.05), which was significantly higher in the observation group than that of the control group(P<0.05), the pain ratio in the observation group was significantly decreased (P<0.05), which was significantly lower than that in the control group(P<0.05), the recovery rate of hip joints in the observation group was 95.0%, which was significantly higher than that of the control group(70.0%)(P<0.05), the Harris scores of the two groups were significantly higher than before treatment(P<0.05), which was significantly higher in the observation group than that of the control group(P<0.05). Conclusion: Hip replacement could more effectively enhance the clinical efficacy in the treatment of femoral neck fractures in elderly patients than proximal femoral nailing, it could promote the recovery of hip function and reduce the pain of patients.