老年髖部骨折患者使用PFNA內固定手術治療的臨床效果分析

張興華

【摘要】 目的 探析老年髖部骨折患者使用股骨近端防旋髓內釘（PFNA）內固定手術治療的臨床效果。方法 145例老年髖部骨折患者， 隨機分為實驗組（73例）和對比組（72例）。對比組患者給予股骨近端鎖定鋼板內固定手術治療， 實驗組患者給予PFNA內固定手術治療。比較兩組患者的治療效果、并發癥發生情況以及治療相關指標。結果 實驗組患者治療總有效率為97.26%， 高于對比組的83.33%， 差異具有統計學意義（P<0.05）。實驗組患者并發癥發生率為5.48%， 明顯低于對比組的16.67%， 差異具有統計學意義（P<0.05）。實驗組患者術中出血量少于對比組， 手術時間、住院時間短于對比組， 差異具有統計學意義（P<0.05）。結論 PFNA內固定手術治療老年髖部骨折患者的效果比較顯著， 能夠有效減少患者術中出血量， 縮短手術時間， 減少并發癥的發生， 從而加快患者術后的恢復， 縮短住院時間， 安全性強， 值得在臨床廣泛應用與大力推廣。

【關鍵詞】 髖部;骨折;股骨近端防旋髓內釘內固定手術;臨床效果;并發癥;老年

DOI：10.14163/j.cnki.11-5547/r.2019.30.002

【Abstract】 Objective? ?To discuss and analyze the clinical effect of proximal femur nail antirotation （PFNA） internal fixation in elderly patients with hip fracture. Methods? ?A total of 145 elderly patients with hip fracture were randomly divided into experimental group （73 cases） and control group （72 cases）. The control group was treated with proximal femur locking plate internal fixation， and the experimental group was treated with PFNA internal fixation. Comparison was made on treatment effect， occurrence of complications and treatment-related indicators between the two groups. Results? ?The total effective rate of treatment in the experimental group was 97.26% in the experimental group， and that was higher than 83.33% in the control group. The difference was statistically significant （P<0.05）. The incidence of complications was 5.48% in the experimental group， and that was 16.67% in the control group. The difference was statistically significant （P<0.05）. The amount of intraoperative hemorrhage in the experimental group was less than that in the control group， and the operation time and hospitalization time were shorter than those in the control group. Their difference was statistically significant （P<0.05）. Conclusion? ?PFNA internal fixation has a remarkable effect for elderly patients with hip fracture. It can effectively reduce the amount of intraoperative hemorrhage， shorten the operation time and reduce the occurrence of complications， thus speeding up the recovery of patients after operation， shortening the hospitalization time with high safety. It is worthy of wide application and vigorous promotion in clinic.

【Key words】 Hip; Fracture; Proximal femur nail antirotation internal fixation; Clinical effect; Complications; Elderly

目前， 髖部骨折在老年人群發病率較高， 主要是因為老年人因為年紀逐漸增高， 骨頭強度逐漸下降導致骨質疏松， 骨骼越來越脆， 除此之外， 老年人的髖周肌群慢慢退變， 反應速度變慢， 使得老年人一旦出現摔倒、突然扭動等情況， 就極易發生骨折現象， 并且容易引發各種并發癥的出現 [1， 2]。髖部骨折的出現不僅降低老年人的生活質量， 更會威脅到老年人的生命安全， 因此需要采取積極有效的治療方法對老年髖部骨折患者及時進行治療[3， 4]。本次研究選擇探析老年髖部骨折患者使用PFNA內固定手術治療的臨床效果， 現報告如下。