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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2024; 8: (3) ; 10.12208/j.ijcr.20240115 .

To analyze the effect of surgery combined with standardized anti-osteoporosis drugs on healing and hip function improvement in elderly patients with femoral neck fracture
分析手术联合规范化抗骨质疏松药物治疗对促进高龄股骨颈骨折患者愈合及髋关节功能改善的作用

作者: 孙海波 *, 谭晓峰, 张致得, 王士杰, 班磊

河北省承德市双滦区人民医院 河北承德

*通讯作者: 孙海波,单位:河北省承德市双滦区人民医院 河北承德;

引用本文: 孙海波, 谭晓峰, 张致得, 王士杰, 班磊 分析手术联合规范化抗骨质疏松药物治疗对促进高龄股骨颈骨折患者愈合及髋关节功能改善的作用[J]. 国际临床研究杂志, 2024; 8: (3) : 114-117.
Published: 2024/3/26 16:28:17

摘要

目的 为高龄股骨颈骨折患者寻找加速骨折愈合及改善髋关节功能的最佳治疗方法。方法 研究将以分组对比方式进行研究,研究时间自2022年10月起到2023年11月结束,为期14个月,以本时间范围内60例股骨颈骨折高龄患者为研究对象,对照组仅进行手术治疗(30例),观察组在进行手术治疗前后给予规范化抗骨质疏松药物治疗(30例),比较两组患者恢复情况。结果 观察组骨密度各项实验室指标得到改善,症状缓解,髋关节功能恢复,整体治疗效果更佳。结论 对高龄股骨颈骨折患者以手术治疗后,进行规范化抗骨质疏松药物进行治疗,可以提高患者骨密度,加速患者愈合,改善髋关节功能。

关键词: 股骨颈骨折;髋关节置换术;抗骨质疏松药物;髋关节功能

Abstract

Objective To find the best treatment method to accelerate fracture healing and improve hip function in elderly patients with femoral neck fracture.
Methods The study was conducted in a group comparison mode. The study period was from October 2022 to November 2023 for a period of 14 months. 60 elderly patients with femoral neck fracture were selected as the study objects during this time period, and only 30 patients in the control group received surgical treatment. The observation group was treated with standardized anti-osteoporosis drugs before and after surgery (30 cases), and the recovery of the two groups was compared.
Results All the laboratory indexes of BMD were improved, symptoms were relieved, hip function was restored, and the overall treatment effect was better.
Conclusion   Standardized anti-osteoporosis drugs can improve bone mineral density, accelerate healing and improve hip function in elderly patients with femoral neck fracture after surgical treatment.

Key words: Femoral neck fracture; Hip replacement; Anti-osteoporosis drugs; Hip function

参考文献 References

[1] 刘香英,孙风凡,俞慧慧. 老年股骨颈骨折患者行髋关节置换术后功能恢复的相关影响因素研究 [J]. 浙江创伤外科, 2023, 28 (06): 1047-1049.

[2] 徐文龙,赵永阳. 综合疗法对股骨颈骨折伴骨质疏松术后髋关节功能及骨密度骨代谢的影响 [J]. 实用中医药杂志, 2023, 39 (05): 905-908.

[3] 黄祈洁,陈志,姚志鹏. 髋关节置换术联合唑来膦酸治疗老年股骨颈骨折的临床疗效及对骨代谢指标的影响 [J]. 上海医药, 2023, 44 (09): 26-30.

[4] 卢志林. 不同手术方式对老年骨质疏松性股骨颈骨折患者骨密度及骨代谢的影响 [J]. 智慧健康, 2023, 9 (13): 165-168. 

[5] 孟东浩. 骨质疏松患者行髋膝关节置换术围手术期使用唑来膦酸或地舒单抗的疗效观察[D]. 昆明理工大学, 2023. 

[6] 高猛,郭军,董松格. 老年股骨颈骨折患者行髋关节置换术后髋关节功能恢复的相关影响因素分析 [J]. 中华老年病研究电子杂志, 2021, 8 (04): 10-13.

[7] 唐晔. 人工股骨头置换术与全髋关节置换术在骨质疏松性股骨颈骨折中的治疗效果 [J]. 医学食疗与健康, 2021, 19 (22): 81-82.

[8] 陈灵聪. 唑来膦酸联合髋关节置换治疗绝经后骨质疏松性股骨颈骨折的临床效果分析 [J]. 北方药学, 2021, 18 (10): 115-116.