股骨近端防旋髓内钉（PFNA）结合抗骨质疏松药物治疗老年股骨粗隆间骨折的临床效果
王晓平，祝先锋，张晓敏
（陕西省第四人民医院创伤关节外科，陕西 西安，710043）
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摘要：
目的 分析股骨近端防旋髓内钉（PFNA）结合抗骨质疏松药物治疗老年股骨粗隆间骨折的临床效果。方法 选择我院收治的老年股骨粗隆间骨折患者90例为研究对象，随机分为对照组和治疗组，每组45 例。对照组患者采用常规的PFNA方法进行治疗，治疗组患者在对照组的基础上，给予抗骨质疏松药物。比较两组患者的骨痂出现时间、骨折平均愈合时间及并发 症发生情况及疗效。结果 治疗组患者骨痂出现时间、骨折平均愈合时间显著低于对照组（P<0.05）。治疗组的治疗优良率为86.7%，对照组为80.0%，差异无统计学意义（P>0.05）。对照组的并发症发生率为11.1%，而治疗组为6.7%，差异无统计学意义（P>0.05）。结论 PFNA结合抗骨质疏松药物治疗老年股骨粗隆间骨折能促进患者恢复，具有较好的临床疗效。
关键词：股骨近端防旋髓内钉；抗骨质疏松药物；股骨粗隆间骨折
中图分类号：R683文献标志码：A文章编号：2096-1413(2017)13-0056-02
Clinical effect of PFNA combined with anti-osteoporosis drugs in the treatment of intertrochanteric
fractures in geriatric people
WANG Xiao-ping, ZHU Xian-feng, ZHANG Xiao-min
(Trauma Joint Surgery, the Fourth People s Hospital of Shaanxi, Xi an 710043, China)
ABSTRACT: Objective To analyze the clinical effect of PFNA combined with anti-osteoporosis drugs in the treatment of intertrochanteric fractures in geriatric people. Methods Ninety geriatric people with intertrochanteric fractures in our hospital were selected as the study objects and randomly divided into control group and treatment group, with 45 cases in each group. The control group was treated with conventional PFNA method, while the treatment group was given anti -osteoporosis drugs on the basis of the control group. The time of callus occurrence, the average healing time, the situation of complications and treatment effect were compared. Results The time of callus occurrence and the average healing time of the treatment group were significantly lower than those of the control group (P<0.05). The excellent rate was 86.7% in the treatment group and 80.0% in the control group, the difference was not statistically significant (P>0.05). And the complications of the two groups had no significant difference (P>0.05). Conclusion PFNA combined with anti-osteoporosis drugs in the treatment of intertrochanteric fractures in geriatric people can promote patients recovery, which has a good efficacy.
KEYWORDS：PFNA; anti-osteoporosis drugs; intertrochanteric fracture
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