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手术与非手术治疗老年股骨粗隆间骨折的临床疗效及SAS评分影响分析

  • 董方亮

* 通信作者: 董方亮, 单位:濮阳市安阳地区医院骨科

摘要

【摘要】
目的:分析手术与非手术治疗老年IFF(股骨粗隆间骨折)的临床疗效及SAS评分变化。

方法:选定本院2019年1月至2021年1月住院治疗的120例老年IFF患者,根据“治疗

方法的不同”分组,参照组60例患者采纳保守治疗,实验组60例患者采纳PFNA(股骨近端防旋髓内钉)术治疗,比较两组Harris评分、VAS评分、髋关节功能优良率、髋内翻发生率、SAS评分、SDS评分。

结果:实验组治疗后Harris评分高于参照组,实验组髋关节功能优良率(96.67%)高于参照组(76.67%),实验组髋内翻发生率(1.67%)低于参照组(13.33%),实验组治疗后VAS评分、SAS评分、SDS评分均低于参照组,差异均具有统计学意义(P<0.05)。

结论:PFNA手术可有效改善老年IFF患者髋关节功能,降低髋内翻发生率,减轻疼痛感及患者消极情绪,效果显著。

关键词:【关键词】股骨近端防旋髓内钉术;股骨粗隆间骨折;临床疗效;不良情绪

ABSTRACT

[Abstract]
Objective: to analyze the clinical efficacy and SAS score changes of surgical and non-surgical treatment of elderly patients with femoral intertrochanteric fracture.

Methods: 120 elderly patients with IFF in our hospital from January 2019 to January 2021 were selected and divided into two groups according to "different treatment methods". 60 patients in the reference group were treated with conservative treatment, and 60 patients in the experimental group were treated with PFNA (proximal femoral nail antirotation). Harris score, VAS score, excellent and good rate of hip joint function, incidence of coxa vara, SAS score and SDS score were compared between the two groups Points.

Results: the Harris score of the experimental group after treatment was higher than that of the reference group, the excellent and good rate of hip joint function of the experimental group (96.67%) was higher than that of the reference group (76.67%), the incidence of coxa vara of the experimental group (1.67%) was lower than that of the reference group (13.33%), the VAS score, SAS score and SDS score of the experimental group after treatment were lower than those of the reference group, the differences were statistically significant (P<0.05).

Conclusion  : PFNA can effectively improve the hip function of elderly patients with IFF, reduce the incidence of coxa vara, relieve pain and negative emotions of patients, and the effect is significant.

Key words: [Key words] proximal femoral nail antirotation; intertrochanteric fracture; clinical effect; bad mood

引用本文 / How to Cite This Article

董方亮.手术与非手术治疗老年股骨粗隆间骨折的临床疗效及SAS评分影响分析[J]. 国际精神病学杂志, , (): -

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