中国伤残医学2025,Vol.33Issue(6):23-27,5.DOI:10.13214/j.cnki.cjotadm.2025.006.006
PFNA内固定术联合骨化三醇治疗老年股骨粗隆间骨折的效果分析
Effect Analysis of PFNA Internal Fixation Combined with Calcitriol in the Treatment of Elderly Intertrochanteric Fractures of Femur
王继欢 1盛洪彪 1李骏坤1
作者信息
- 1. 上海市奉贤区奉城医院骨科,上海 200000
- 折叠
摘要
Abstract
Objective:To analyze the effect of proximal femoral nail antirotation(PFNA)internal fixation combined with Calcitriol in the treatment of elderly patients with intertrochanteric fracture of femur(IFF).Methods:A total of 80 elderly patients with IFF admitted to Shanghai Fengcheng Hospital from August 2019 to May 2023 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 40 cases in each group.The control group received PFNA internal fixation,and the study group combined with Calcitriol treatment on the basis of the control group.The occurrence of recovery,pain,hip function and quality of life were compared between the two groups.Results:The time of callus occurrence and fracture healing in the study group were shorter than those in the control group,the differences were statistically significant(P<0.05).Six months after surgery,the Pain Visual Analogue Scale score of the study group was lower than that of the control group,and the Harris Hip Scale score was higher than that of the control group,the differences were statistically significant(P<0.05).Six months after operation,the scores in all dimensions of the MOS Item Short Form Health Survey in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:PFNA internal fixation combined with Calcitriol can relieve pain in elderly patients with IFF,and contribute to hip function recovery and quality of life improvement.关键词
股骨粗隆间骨折/老年/骨化三醇/髋关节功能/生活质量Key words
Intertrochanteric fracture of femur/Elderly/Calcitriol/Hip function/Quality of life分类
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王继欢,盛洪彪,李骏坤..PFNA内固定术联合骨化三醇治疗老年股骨粗隆间骨折的效果分析[J].中国伤残医学,2025,33(6):23-27,5.