目的 探讨早期整体治疗模式应用在老年人股骨转子间骨折治疗中的临床效果.方法 将2017年1-12月绍兴市中心医院骨科接收的老年股骨转子间骨折患者84例进行分组研究,将其中接收早期整体治疗模式治疗的46例患者为观察组,另38例接受创伤骨科传统治疗模式的患者为对照组,两组患者均接受股骨近端防旋髓内钉固定治疗,比较两组的治疗效果.结果 随访12个月,观察组人工全髋关节疗效评分标准(Harris)疼痛、活动度、畸形、功能及总分分别为(39.13±2.66)分、(3.40±0.44)分、(3.30±0.38)分、(37.73±2.44)分、(83.56±2.51)分,五项评分均高于对照组的(37.05±2.95)分、(3.17±0.59)分、(3.09±0.52)分、(35.67±3.19)分、(78.98±3.37)分,组间均差异有统计学意义(疼痛:t=3.395,P=0.001;活动度:t=2.044,P=0.044;畸形:t=2.135,P=0.035;功能:t=3.352,P=0.001;总分:t=7.131,P=0.000);随访12个月,观察组手术优良率84.78％,高于对照组优良率的71.05％,组间差异有统计学意义(χ2=5.477,P=0.019);临床统计显示:观察组受伤至手术时间、下地活动时间、住院时间分别为(2.31±0.53)d、(3.53±0.69)d、(15.86±2.60)d,三项指标均短于对照组的(3.45±1.02)d、(5.02±1.13)d、(19.73±3.12)d,组间差异有统计学意义(受伤至手术时间:t=6.585,P=0.000;术后下地活动时间:t=7.128,P=0.000;住院时间:t=6.202,P=0.000);观察组术后并发症率6.52％,对照组术后并发症率23.68％,组间差异有统计学意义(χ2=11.484,P=0.000);观察组术后12个月未见死亡病例,对照组术后12个月病死率2.63％,组间差异无统计学意义(χ2=2.665,P=0.102).结论 早期整体治疗理念应用于老年股骨转子间骨折的治疗中可提高治疗效果并缩短患者的康复进程.“,”Objective To investigate the clinical effect of early holistic treatment in elderly patients with intertrochanteric fracture.Methods From January 2017 to December 2017,84 elderly patients with intertrochanteric fracture received by orthopaedics department of Shaoxing Central Hospital were divided into two groups .The observation group (46 patients) received early holistic therapy ,and the control group (38 patients) received traditional orthopaedic trauma treatment .Two groups of patients were treated with proximal femoral anti -rotation intramedullary nail fixation , and the therapeutic effect was compared between the two groups .Results After12 months of follow -up,the scores of Harris(evaluation standard of total hip joint curative effect ) pain,mobility,deformity,function and total scores in the observation group were (39.13 ±2.66) points,(3.40 ±0.44) points,(3.30 ±0.38) points,(37.73 ± 2.44)points,(83.56 ±2.51) points,respectively,which were higher than those in the control group [(37.05 ± 2.95)points,(3.17 ±0.59)points,(3.09 ±0.52) points,(35.67 ±3.19) points,(78.98 ±3.37) points],there were statistically significant differences between the two groups ( pain:t=3.395,P=0.001;activity:t=2.044,P=0.044;deformity:t=2.135,P=0.035;function:t=3.352,P=0.001;total score:t=7.131,P=0.000).After 12 months of follow-up,the excellent and good rate of operation in the observation group was 84.78％,which was higher than 71.05％in the control group ,there difference was statistically significant between the two groups (χ2 =5.477,P=0.019).The clinical statistics showed that the time from injury to operation ,the time of ambulation and hospitalization in the observation group were (2.31 ±0.53) d,(3.53 ±0.69) d,(15.86 ±2.60) d,respectively, which were shorter than those in the control group [(3.45 ±1.02) d,(5.02 ±1.13) d,(19.73 ±3.12) d],the differences were statistically significant between the two groups (the time from injury to operation:t=6.585,P=0.000;the time of ambulation after operation:7.128,P=0.000;hospitalization time:t =6.202,P=0.000).The incidence of complication was 6.52％in the observation group and 23.68％ in the control group,the difference was statistically significant between the two groups (χ2 =11.484,P=0.000).There was no death in the observation group at 12 months after operation,and the mortality rate in the control group was 2.63％,the difference was no statistically significant between the two groups (χ2 =2.665,P =0.102).Conclusion The application of early holistic treatment concept in the treatment of elderly patients with intertrochanteric fracture can improve the therapeutic effect and shorten the rehabilitation process of the patients .