论文部分内容阅读
目的评价老年卒中后髋部骨折患者采用外科治疗规范的临床疗效。方法收集2007年1月至2009年12月治疗的老年卒中后髋部骨折患者85例为对照组;制订并实施外科治疗规范后,将2010年4月至2012年10月收治的老年卒中后髋部骨折患者101例作为实验组,采用SPSS 17.0进行统计分析,记录并比较两组患者基线资料、总住院天数、术前住院天数、住院总费用、临床疗效等指标。结果本研究共纳入186例,对照组85例、实验组101例,两组患者均随访6个月。两组患者的基线资料、住院总费用,差异无统计学意义(P>0.05)。总住院时间:实验组(15.83±6.8)天,对照组(21.02±9.7)天;P=0.000,术前住院时间:实验组(5.93±4.1)天,对照组(8.01±6.1)天;P=0.002,差异有统计学意义。并发症发生率:对照组35.5%,实验组22.2%;P=0.035。第一次下地活动时间:对照组(15.39±7.6)天,实验组(8.00±6.3)天;P=0.000。Haris评分优良率:对照组90.2%,实验组86.4%;P=0.510。死亡率:对照组11.8%,实验组12.6%;P=1.000,差异无统计学意义。结论老年卒中后髋部骨折患者规范化外科治疗后,能有效缩短总住院天数、术前住院天数,减少术后并发症的发生率。
Objective To evaluate the clinical efficacy of surgical treatment in elderly patients with hip fracture after stroke. Methods A total of 85 elderly patients with hip fracture who were treated after stroke were collected from January 2007 to December 2009 as control group. After the surgical treatment was established and implemented, the aged hip stroke patients who were treated between April 2010 and October 2012 101 cases of fracture patients as experimental group, using SPSS 17.0 for statistical analysis, record and compare baseline data, total hospitalization days, preoperative hospitalization days, total cost of hospitalization, clinical efficacy and other indicators. Results A total of 186 cases were included in this study, 85 cases in the control group and 101 cases in the experimental group. All patients were followed up for 6 months. The two groups of patients with baseline data, total cost of hospitalization, the difference was not statistically significant (P> 0.05). The total length of hospital stay was (15.83 ± 6.8) days in the experimental group and 21.02 ± 9.7 days in the control group (P = 0.000). The preoperative hospital stay was (5.93 ± 4.1) days in the experimental group and 8.01 ± 6.1 days in the control group = 0.002, the difference was statistically significant. The incidence of complications: 35.5% in the control group, 22.2% in the experimental group; P = 0.035. The first time activities under the ground: the control group (15.39 ± 7.6) days, the experimental group (8.00 ± 6.3) days; P = 0.000. Haris score excellent and good rate: control group 90.2%, experimental group 86.4%; P = 0.510. Mortality: 11.8% in the control group, 12.6% in the experimental group; P = 1.000, the difference was not statistically significant. Conclusion The standardized surgical treatment of elderly patients with hip fracture after stroke can effectively reduce the total number of hospital days, the length of preoperative hospitalization and the incidence of postoperative complications.