摘要
Abstract
Objective:To compare the short-term and long-term efficacy and prognosis of elderly patients with hip fracture treated at different times of operation,and to provide a theoretical basis for the selection of clinical operation times.Methods:Retrospective analysis was conducted to collect data on 137 elderly patients with hip fractures admitted to the orthopedics department of our hospital from January 2019 to December 2020,divided into 3 groups based on the timing of the surgery,42 patients who underwent surgical treatment within 48 hours after injury were included in the early group,51 patients who received surgical treatment at 48～72 h after injury were in the intermediate group,and 44 patients who received surgery>72 h after injury were in the late group.The basic conditions and surgical-related indicators were compared of each group.All patients were followed up regularly after discharge.Harris Hip Joint Function score was used to evaluate hip joint function at preoperative,postoperative 1,postoperative 3,postoperative 6,and 12 months,respectively.The mortality rates within 1,3,6,and 12 months after surgery and incidence of complications within 12 months after surgery for three groups of patients were recordcd.Results:There were significant differences in the average length of hospital stay among the three groups(P<0.05).Pairwise comparison between the two groups showed that the hospitalization time in the late group was longer than that in the intermediate group,and the hospitalization time in the intermediate group was longer than that in the early group,and the differences were statistically significant(P<0.05).The Harris scores at each time point after operation in the three groups were significantly higher than those before operation,and the differences were statistically significant(P<0.05).There were no significant differences in Harris score between the three groups before operation,6 months after operation,and 12 months after operation(P<0.05).The Harris scores of the early group and the middle group were higher than those of the late group at 1 month after operation,and the difference was statistically significant(P<0.05).There was a statistically significant difference in the lung infection rate among the three groups(P<0.05).Pairwise comparison between groups showed that the lung infection rate in the early group was 4.17%,which was lower than 16.28% in the late group,and the difference was statistically significant(P<0.05).There was no significant difference in mortality between the three groups at 1,3,6 and 12 months after operation(P>0.05).Conclusion:The timing of operation in elderly patients with hip fracture has no significant effect on mortality,but early operation after injury can shorten the hospital stay,reduce the rate of pulmonary infection,and promote the rapid recovery of hip function.关键词
髋部骨折/老年人/手术时机/疗效/预后Key words
Operative timing/Elderly/Hip fracture/Efficacy/Prognosis分类
医药卫生
