防旋股骨近端髓内钉(PFNA)内固定联合个体化康复训练治疗老年股骨粗隆间骨折的临床价值

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【摘要】目的：分析防旋股骨近端髓内钉（PFNA）内固定联合个体化康复训练治疗老年股骨粗隆间骨折的临床价值。方法：选择2021年1月—2022年1月的老年股骨粗隆间骨折患者共70例，随机分组，对照组实施防旋股骨近端髓内钉内固定，观察组在对照组基础上增加个体化康复训练，比较两组效果。结果：观察组手术时间、出血总量和对照组比较无显著差异（P>0.05）；观察组术后活动时间和住院时间短于对照组，髋关节功能Harris评分、视觉模拟评分、生活质量评分改善程度大于对照组，并发症发生率低于对照组（P

【关键词】老年股骨粗隆间骨折；急诊；PFNA；内固定手术；治疗效果

Clinical value of proximal femoral nail anti-rotation （PFNA） internal fixation combined with individualized rehabilitation training in the treatment of elderly femoral intertrochanteric fractures

WU Jianwei

Department of rehabilitation medicine， Nanjing Hospital Affiliated to Nanjing Medical University（Nanjing First Hospital）， Nanjing， Jiangsu 210000， China

【Abstract】Objective：To analyze the clinical value of proximal femoral nail anti-rotation（PFNA）internal fixation combined with individualized rehabilitation training in the treatment of elderly femoral intertrochanteric fractures.Methods：A total of 70 elderly patients with femoral intertrochanteric fractures from January 2021 to January 2022 were selected and randomly divided into groups.The control group was treated with proximal femoral nail anti-rotation internal fixation，and the observation group was treated with individualized rehabilitation training on the basis of the control group.The effects of the two groups were compared.Results：There was no significant difference between the observation group and the control group in the operation time and total amount of bleeding（P>0.05）；The time of postoperative activity and hospitalization in the observation group was shorter than that in the control group，the improvement of Harris score，visual analog score and quality of life score of hip joint function was greater than that in the control group，and the incidence of complications was lower than that in the control group（P

【Key？Words】Elderly femoral intertrochanteric fracture； Emergency treatment； PFNA； Internal fixation surgery； Treatment effect

股骨粗隆间骨折在老年人中比较常见，对老年人的身体健康有很大的影响[1-2]。（剩余3963字）