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目的研究老年股骨颈骨折患者围手术期的中西医结合治疗方法。方法回顾性分析32例老年股骨颈骨折患者手术治疗的围手术期资料,评价中西医结合治疗效果。结果所有患者根据临床实际情况分别采取AO空心加压螺钉内固定、人工股骨头置换和人工全髋关节置换术3种手术方法;术后全部病例均未发生并发症,顺利出院。结论积极的围手术期评估和中西医结合处理是老年股骨颈骨折患者手术治疗成功的主要措施之一。
Objective To study the perioperative treatment of traditional Chinese and western medicine in elderly patients with femoral neck fracture. Methods The perioperative data of 32 elderly patients with femoral neck fracture were analyzed retrospectively to evaluate the effect of integrated traditional Chinese and western medicine. Results All patients underwent three kinds of surgical procedures including AO hollow compression screw internal fixation, artificial femoral head replacement and total hip arthroplasty according to the clinical situation. No postoperative complications occurred in all the cases and the patients were discharged smoothly. Conclusions Positive perioperative evaluation and the combination of TCM and Western medicine are one of the main measures for the successful surgical treatment of elderly patients with femoral neck fracture.