糖尿病合并股骨颈骨折的老年患者髋关节置换术治疗的疗效观察

发布时间：2018-07-05 18:32

本文选题：糖尿病 + 股骨颈骨折　；参考：《临床医药文献电子杂志》2016年58期

【摘要】：目的探讨糖尿病合并股骨颈骨折的老年患者髂关节置换术治疗方法及其疗效。方法选取我院2012年12月~2015年7月收治的糖尿病合并股骨颈骨折的老年患者160例,按照患者及家属意愿分别行不同手术治疗,分为观察组60例(行微创髋关节置换术)和对照组40例(行人工全髂关节置换术),两组患者围术期均控制血糖(胰岛素)。观察两组患者疗效。结果观察组患者手术持续时间、术中出血量、输血量及术后引流量、髂关节功能恢复程度、并发症发生率均优于对照组患者,差异有统计学意义(P0.05)。结论糖尿病合并股骨颈骨折老年患者行髂关节置换术治疗疗效确切,值得临床大力推广应用。
[Abstract]:Objective to investigate the curative effect of iliac joint replacement in elderly patients with diabetes mellitus complicated with femoral neck fracture. Methods from December 2012 to July 2015, 160 elderly patients with diabetes mellitus complicated with femoral neck fracture were selected and treated separately according to the wishes of the patients and their families. The patients were divided into observation group (60 cases) and control group (40 cases). Blood glucose (insulin) was controlled in perioperative period. The curative effect of the two groups was observed. Results the duration of operation, blood loss, blood transfusion, postoperative drainage, the degree of recovery of iliac joint function and the incidence of complications in the observation group were significantly higher than those in the control group (P0.05). Conclusion the curative effect of iliac joint replacement in elderly patients with diabetes complicated with femoral neck fracture is definite, and it is worth popularizing in clinic.
【作者单位】：新疆生产建设兵团第一师医院创伤骨科;新疆生产建设兵团第一师医院老年病科;
【分类号】：R587.1;R687.4

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