本文選題：保守治療 + 股骨粗隆間骨折�。� 參考：《山東大學(xué)》2015年碩士論文

【摘要】：目的：評價(jià)保守療法對股骨粗隆間骨折的治療效果,得出保守治療股骨粗隆間骨折患者的治愈率、并發(fā)癥率、死亡率,總結(jié)經(jīng)驗(yàn)以進(jìn)一步提高臨床對保守治療股骨粗隆間骨折的認(rèn)知程度。方法：選取2010年1月至2014年10月這段時(shí)間棗莊地區(qū)三級甲等醫(yī)院住院病例200例,隨訪10-22個(gè)月,記錄患者年齡、住院時(shí)間、愈合時(shí)間、治療前后髖關(guān)節(jié)功能和活動能力,治愈率、死亡率以及相關(guān)并發(fā)癥發(fā)生率,并統(tǒng)計(jì)分析。結(jié)果：患者平均年齡77.8歲(60歲-95歲),平均住院天數(shù)為65.3(21-93)天,傷后愈合時(shí)間88.3(65-123)天,治愈率61.5%,愈合后Harris髖關(guān)節(jié)功能和活動能力平均得分88.2(75-95)分,優(yōu)良率90.5%。肺部感染38例,心腦血管疾病23例,褥瘡17例,泌尿系統(tǒng)感染6例,其他疾病2例,髖內(nèi)翻65例,并發(fā)癥發(fā)生率為71%,一年內(nèi)死亡患者77例,死亡率38.5%。結(jié)論：股骨粗隆間骨折的治療,應(yīng)根據(jù)患者的身體狀況、骨折的類型、家庭經(jīng)濟(jì)情況、所在醫(yī)院的條件以及外科醫(yī)生的治療水平合理選擇。保守治療股骨粗隆間骨折有一定的并發(fā)癥率及死亡率,但對于不能耐受手術(shù)以及拒絕手術(shù)的患者,保守治療仍是一種有效的治療方法。對于保守治療的患者應(yīng)將治療重點(diǎn)放在并發(fā)癥的預(yù)防上,尤其是肺部感染和心腦血管疾病的預(yù)防,應(yīng)重視骨質(zhì)疏松的治療。精心的護(hù)理是預(yù)防粗隆間骨折相關(guān)并發(fā)癥、提高患者生活質(zhì)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.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R687.3

【共引文獻(xiàn)】

相關(guān)期刊論文 前1條

1 張慶猛;李明;劉培來;張?jiān)獎P;李德強(qiáng);;人工關(guān)節(jié)置換和PFNA內(nèi)固定治療老年人股骨轉(zhuǎn)子間骨折的療效比較[J];山東醫(yī)藥;2013年01期

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本文編號：1896993