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人工髋关节置换术与内固定对老年髋部骨折患者术后功能康复的影响

Effect of artificial hip joint replacement and internalfixation on postoperative functional rehabilitation in senile patients with hip fracture

    摘要
  • 摘要:
      目的  探讨人工髋关节置换术与内固定对老年髋部骨折患者术后功能康复的影响。
      方法  选取80例老年髋部骨折患者按照随机双盲法分为2组，各40例。对照组行内固定治疗，观察组行人工髋关节置换术治疗，观察并比较2组手术指标、术后首次负重时间、髋关节功能恢复及并发症情况。
      结果  对照组术中出血量显著低于观察组，术后首次负重时间显著晚于观察组(P < 0.05); 2组手术时间及术后引流量比较，差异无统计学意义(P>0.05); 观察组术后3个月、6个月Harris评分均显著高于对照组(P < 0.05); 观察组并发症发生率显著低于对照组(P < 0.05)。
      结论  与内固定治疗相比，人工髋关节置换术更利于促进老年髋部骨折患者术后髋关节功能恢复，缩短术后首次负重时间，降低术后并发症发生率。

     

    Abstract:
      Objective  To observe the effect of artificial hip joint replacement and internal fixation on postoperative functional rehabilitation in senile patients with hip fracture.
      Methods  A total of 80 senile patients with hip fracture in the hospital were divided into two groups by randomized double blind method, with 40 cases in each group. Control group underwent internal fixation, and observation group was treated with artificial hip joint replacement. The surgical indexes, postoperative time to first weight bearing, recovery of hip joint function, complications in two groups were observed.
      Results  The intraoperative bleeding volume of control group was lower, and the postoperative time to first weight bearing was later than that in observation group (P < 0.05); there were no statistical differences in the operation time and postoperative drainage volume between two groups (P>0.05). After 3, 6 months of surgery, the Harris scores of observation group was higher (P < 0.05), and the incidence of complications was lower than that in control group (P < 0.05).
      Conclusion  Compared with internal fixation, artificial hip joint replacement can promote postoperative recovery of hip joint for senile patients with hip fracture, shorten postoperative time to first weight bearing, and decrease the incidence of postoperative complications.

     

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