【摘要】 目的:研究采用人工髋关节置换术治疗老年人股骨颈骨折的临床疗效,为临床提供可靠依据。方法:选取我院2014年5月-2016年1月收治的98例老年人股骨颈骨折患者作为研究对象,按照随机数表法平均分成实验组与参照组,每组各49例。其中实验组采用全髋关节置换术,参照组采用人工股骨头置换术。观察比较两组患者手术时间、手术的失血量、住院时间以及按照Harris评分标准对髋关节功能评估。结果:实验组的的手术时间、术中的出血量以及术后的引流量均显著高于参照组,差异有统计学意义(均P<0.05)。实验组住院时间与参照组比较无明显差异,不具有统计学意义(P>0.05)。实验组手术后髋关节恢复情况、疼痛感以及并发症发生率明显优于参照组。实验组的优良率为93.88%,显著高于参照组的71.43%,差异有统计学意义(P<0.05)。结论:全髋关节置换术对治疗老年人股骨颈骨折具有极佳的疗效,能够减少手术时的疼痛感,降低手术后并发症的发生率,提高患者生活质量。更多还原

【Abstract】 Objective: To study efficacy of artificial hip replacement on elderly femur fracture. Methods: From May 2014 to January 2016, 98 patients were divided into two groups, 49 cases in each. The experimental group was given artificial hip replacement; and the control group was given prosthetic replacement for femoral head. Operation time, blood loss, length of hospital stay and Harris score in two groups were compared. Results: In the experimental group, operating time, bleeding volume and drainage were better, P<0.05. The difference in length of stay between two groups was not statistically significant, P>0.05. In the experimental group, hip joint recovery, pain, and complications were significantly better. The excellent rate in the experimental group was 93.88%, higher than 71.43% in the control group, P<0.05. Conclusion: Artificial hip replacement on elderly femur fracture shows a good effect, could reduce the pain during surgery and the incidence of complications after surgery, improve the quality of life of patients.更多还原