保守治疗股骨粗隆间骨折的临床研究

发布时间：2018-05-16 13:31

本文选题：保守治疗 + 股骨粗隆间骨折　；参考：《山东大学》2015年硕士论文

【摘要】：目的：评价保守疗法对股骨粗隆间骨折的治疗效果,得出保守治疗股骨粗隆间骨折患者的治愈率、并发症率、死亡率,总结经验以进一步提高临床对保守治疗股骨粗隆间骨折的认知程度。方法：选取2010年1月至2014年10月这段时间枣庄地区三级甲等医院住院病例200例,随访10-22个月,记录患者年龄、住院时间、愈合时间、治疗前后髋关节功能和活动能力,治愈率、死亡率以及相关并发症发生率,并统计分析。结果：患者平均年龄77.8岁(60岁-95岁),平均住院天数为65.3(21-93)天,伤后愈合时间88.3(65-123)天,治愈率61.5%,愈合后Harris髋关节功能和活动能力平均得分88.2(75-95)分,优良率90.5%。肺部感染38例,心脑血管疾病23例,褥疮17例,泌尿系统感染6例,其他疾病2例,髋内翻65例,并发症发生率为71%,一年内死亡患者77例,死亡率38.5%。结论：股骨粗隆间骨折的治疗,应根据患者的身体状况、骨折的类型、家庭经济情况、所在医院的条件以及外科医生的治疗水平合理选择。保守治疗股骨粗隆间骨折有一定的并发症率及死亡率,但对于不能耐受手术以及拒绝手术的患者,保守治疗仍是一种有效的治疗方法。对于保守治疗的患者应将治疗重点放在并发症的预防上,尤其是肺部感染和心脑血管疾病的预防,应重视骨质疏松的治疗。精心的护理是预防粗隆间骨折相关并发症、提高患者生活质量的有效方法。
[Abstract]:Objective: to evaluate the curative effect of conservative therapy on intertrochanteric fracture of femur, and to obtain the cure rate, complication rate and mortality rate of conservative treatment for intertrochanteric fracture of femur. Summary of experience to further improve the clinical understanding of conservative treatment of intertrochanteric fracture of femur. Methods: from January 2010 to October 2014, 200 inpatients from Grade 3A Hospital in Zaozhuang area were selected and followed up for 10-22 months. The patients' age, hospitalization time, healing time, hip joint function, activity and cure rate were recorded before and after treatment. Mortality and incidence of related complications were statistically analyzed. Results: the average age of the patients was 77.8 years old from 60 to 95 years old, the average hospital stay was 65.3 days, the healing time was 88.3f 65-123) days, the cure rate was 61.5, the average score of Harris hip joint function and activity after healing was 88.275-95), the excellent and good rate was 90.5%. There were 38 cases of pulmonary infection, 23 cases of cardiovascular and cerebrovascular diseases, 17 cases of bedsore, 6 cases of urinary tract infection, 2 cases of other diseases and 65 cases of hip varus. The incidence of complications was 71%, 77 cases died within one year, and the mortality was 38.5%. Conclusion: the treatment of femoral intertrochanteric fracture should be based on the patient's physical condition, the type of fracture, the family economic situation, the condition of the hospital and the treatment level of the surgeon. Conservative treatment of intertrochanteric fractures has a certain rate of complications and mortality, but conservative treatment is still an effective method for patients who can not tolerate surgery and refuse surgery. The prevention of complications, especially pulmonary infection and cardiovascular and cerebrovascular diseases, and the treatment of osteoporosis should be emphasized. Careful nursing is an effective method to prevent complications and improve the quality of life of patients with intertrochanteric fracture.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

【共引文献】