老年髋部骨折患者使用PFNA内固定手术治疗的临床效果分析

张兴华

【摘要】 目的 探析老年髋部骨折患者使用股骨近端防旋髓内钉（PFNA）内固定手术治疗的临床效果。方法 145例老年髋部骨折患者， 随机分为实验组（73例）和对比组（72例）。对比组患者给予股骨近端锁定钢板内固定手术治疗， 实验组患者给予PFNA内固定手术治疗。比较两组患者的治疗效果、并发症发生情况以及治疗相关指标。结果 实验组患者治疗总有效率为97.26%， 高于对比组的83.33%， 差异具有统计学意义（P<0.05）。实验组患者并发症发生率为5.48%， 明显低于对比组的16.67%， 差异具有统计学意义（P<0.05）。实验组患者术中出血量少于对比组， 手术时间、住院时间短于对比组， 差异具有统计学意义（P<0.05）。结论 PFNA内固定手术治疗老年髋部骨折患者的效果比较显著， 能够有效减少患者术中出血量， 缩短手术时间， 减少并发症的发生， 从而加快患者术后的恢复， 缩短住院时间， 安全性强， 值得在临床广泛应用与大力推广。

【关键词】 髋部;骨折;股骨近端防旋髓内钉内固定手术;临床效果;并发症;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发病率较高， 主要是因为老年人因为年纪逐渐增高， 骨头强度逐渐下降导致骨质疏松， 骨骼越来越脆， 除此之外， 老年人的髋周肌群慢慢退变， 反应速度变慢， 使得老年人一旦出现摔倒、突然扭动等情况， 就极易发生骨折现象， 并且容易引发各种并发症的出现 [1， 2]。髋部骨折的出现不仅降低老年人的生活质量， 更会威胁到老年人的生命安全， 因此需要采取积极有效的治疗方法对老年髋部骨折患者及时进行治疗[3， 4]。本次研究选择探析老年髋部骨折患者使用PFNA内固定手术治疗的临床效果， 现报告如下。