摘要
目的:探讨不同手术时机对高龄股骨粗隆间骨折患者预后的影响。方法:回顾性分析笔者所在科室2017年1月-2018年5月收治的160例高龄股骨粗隆间骨折患者的临床资料,根据手术时机的不同分为观察组(n=90,伤后<48 h手术)及延迟手术的对照组(n=70,伤后≥48 h手术)。比较两组预后情况。结果:观察组的住院时间短于对照组,术后并发症少于对照组,术后1年死亡率低于对照组,差异均有统计学意义(P<0.05)。观察组术后3、6、9个月时的髋关节功能Harris评分高于对照组,差异均有统计学意义(P<0.05)。结论:对高龄股骨粗隆间骨折的患者尽早手术有利于减少术后并发症,改善髋关节功能,降低死亡率。
Objective:To investigate the effect of different operation time on prognosis of elderly patients with intertrochanteric fracture of femur.Method:The clinical data of 160 elderly patients with intertrochanteric fracture of femur admitted in our department from January 2017 to May 2018 were analyzed retrospectively.According to the different operation time,they were divided into observation group(n=90,operation after injury<48 h)and control group(n=70,operation after injury≥48 h).The prognosis of the two groups was compared.Result:The length of stay in the observation group was shorter than that in the control group,the postoperative complications were less than that in the control group,and the postoperative mortality at 1 year was lower than that in the control group,and the differences were statistically significant(P<0.05).The Harris scores of hip joint function at 3,6,and 9 months after operation in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion:Early operation in elderly patients with intertrochanteric fracture of femur is beneficial to reduce postoperative complications,improve hip joint function and reduce mortality.
作者
胡家瑞
HU Jiarui(Xiamen Chang Gung Hospital,Xiamen 361022,China)
出处
《中外医学研究》
2019年第34期56-58,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
手术时机
高龄患者
股骨粗隆间骨折
髋关节功能
预后
Operation timing
Elderly patients
Intertrochanteric fracture of femur
Hip function
Prognosis
