摘要
目的研究股骨近端防旋髓内钉(PFNA)与伽马(Gamma)钉在股骨干骨折合并股骨近端骨折中的疗效。方法选择股骨干骨折合并股骨近端骨折患者作为研究对象,随机分为给予PFNA联合伽马钉治疗的观察组和伽马钉治疗的对照组,观察骨折愈合、髋关节和膝关节功能、生活能力、负面情绪及术后感染发生率。结果观察组患者愈合54例、髋关节功能(Harris)总评分为(67.18±7.05)分、膝关节功能(HSS)总评分为(91.82±9.24)分、日常行为能力(Barthel)评分为(74.12±7.42)分、自我护理能力(ESCA)评分为(113.8±12.47)分均明显高于对照组;愈合时间(116.71±11.41)d、完全负重下地时间(196.23±20.34)d、NRS评分(2.98±0.34)分、焦虑情绪(HAMA)评分为(16.58±1.84)分、抑郁情绪(HAMD)(13.55±1.47)分、术后感染发生率(1.67%)明显低于对照组。结论 PFNA联合伽马钉治疗模式能够促进断端愈合、改善关节功能、减少术后感染发生率、缓解负面情绪,具有积极的临床价值。
OBJECTIVE To study the effect of PFNA and gamma nail on treatment of femoral shaft fracture complicated with proximal femoral fracture. METHODS The femoral shaft fracture and proximal femoral fracture patients were collected and randomly divided into the observation group given PFNA combined with gamma nail and the control group given gamma nail. Then the postoperative fracture healing, load next time, hip and keen function, negative emotions, and living ability were observed, and the incidence of postoperative infections was analyzed. RESULTS In the observation group, 54 cases were healed, Harris score（67. 18 ±7.05）, HSS score （91. 82±9.24）, Barthel score （74. 124±7.42）, and ESCA score （113.8±12.47）, significantly higher than the control group; the healing time （116.71 ±11.41） d, full weight bearing down time （196.23 ± 20.34） d, NRS score （2. 98±0.34）, HAMA score （16.58±1.84）, HAMD score （13.55±1.47）, and the incidence of postoper- ative infection （1.67 %） were significantly lower than those of the control group. CONCLUSION PFNA combined with gamma nail have positive significance, it can promote the healing, improve ioint function, reduce postopera- tive infection rate, and alleviate the negative emotion.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第12期2896-2898,共3页
Chinese Journal of Nosocomiology
