不同类型老年髋部骨折治疗的功能结果和病死率观察
髋部；骨折；功能结果；病死率,,],髋部；骨折；功能结果；病死率,[摘要],[关键词],1资料与方法,2结果,3讨论,[参考文献]
[摘要] 目的 比较不同类型老年髋部骨折患者治疗的功能结果和病死率。方法 将159例髋部骨折病人分为4组：无移位股骨颈骨折组，移位股骨颈骨折组，稳定粗隆间骨折组和不稳定粗隆间骨折组。对骨折前、骨折2个月后、骨折6个月进行功能指数测定评分，记录年龄、并发症、死亡等情况，并进行比较研究。结果 骨折6个月后随访，无移位股骨颈骨折组死亡率最低，移位的股骨颈骨折病人死亡率最高，差异有显著性。出院6个月随访时，无移位的股骨颈骨折组恢复的最好，而不稳定股骨粗隆间骨折恢复的最差。结论 在考虑髋部骨折治疗和康复时应严密注意移位的股骨颈骨折和不稳定的粗隆间骨折。[关键词] 髋部；骨折；功能结果；病死率
Observation of functional outcomes and mortality among different types of hip fractures in the elderly
WU Wenge,ZHENG Jia,CHEN Xingang,et al.The Eighth People’s Hospital of Shanghai,Shanghai 200235,China
[Abstract] Objective To compare functional outcomes and mortality among patients with different hip fracture types.Methods 159 cases of hip fracture were divided into 4 groups according to different types:(1) nondisplaced femoral neck;(2) displaced femoral neck;(3) stable intertrochanteric fracture;(4) unstable intertrochanteric fracture.Functional independence measure scores were calculated for preinjury function and at 3 and 6-month followups,age,complication,and deaths were recorded.Results Sixmonth mortality was lowest for patients with nondisplaced femoral neck fracture and highest for patients with displaced femoral neck fracture,there was a significant difference between two groups.At sixmonth functional outcome was best for patients with nondisplaced femoral neck fracture and most for patients with unstable intertrochanteric fracture.Conclusion Clinician must pay close attention to treatment and rehabilitation of patients with displaced femoral neck fracture or unstable intertrochanteric fracture. ......
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