基于ABI量化的分层干预对老年股骨颈骨折患者睡眠质量及髋关节功能的影响

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AbstractObjective：Toanalyzetheimpactofstratifiedinterventionbasedonankle-brachial index（ABI）quantificationosleep qualityadhipjointfunctioninelderlypatientswithfemoralneckfractures.Methods：Atotalof8Oelderlypatientswithfemoral neckfracturesadmitedtotheEmergencyDepartmentofZhangzhouTraditionalChinese Medicine HospitalfromJune2O22toJune 2024 were selectedasthe studysubjectsandrandomlydividedintoacontrolgroupandanobservation group，with4Ocases in eachgroup.Thecontrol groupreceived routineintervention，whiletheobservationgroupreceived stratifiedintervention basedon ABIquantificationinadditiontotheroutineintervention.Sleepqualitywasassessedusing theSelf-rating ScaleofSleep（SRSS）， hipjointfunctionwas evaluatedusing the HarrsHipScorebforeand3monthsfterintervention，andpainintensitywasssesed usingthe Visual Analog Scale（VAS）.Results：After3monthsof intervention，theobservationgroupshowed significantlybetter sleep indicators on the SRSS scale compared to the control group（ P<0.05 ）. The Harris Hip Score was significantly higher and the VAS pain score was significantly lower in the observation group than in the control group（both P<0.05 ）. Conclusion： Stratified intervention basedonABIquantificationcansignificantlyimprovesleepqualityandhipjointfunction in elderlypatients with femoral neck fractures，which is worthy of clinical application and promotion.

KeywordsElderly；Femoralneck fracture；Ankle-brachial index；Stratified intervention；Sleepquality；Hipjointfunction; Fracture healing；Complications

中图分类号：R274.12;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.08.036

股骨颈骨折指的是发生于股骨头-股骨颈基底部区域的骨折，此病症在老年群体中较为高发，对老年人的身心健康危害极大[1-2]。（剩余4601字）