首页|抗骨质疏松药物对老年骨质疏松性肱骨近端骨折患者术后恢复的影响

抗骨质疏松药物对老年骨质疏松性肱骨近端骨折患者术后恢复的影响

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目的:探讨抗骨质疏松药物在老年骨质疏松性肱骨近端骨折患者术后恢复中的应用效果。方法:回顾性选取我院骨科 2019 年 10 月—2021 年 5 月收治的 77 例骨质疏松性肱骨近端骨折老年患者作为研究对象。根据患者在术后是否使用抗骨质疏松性药物将患者分为试验组(n=40)和对照组(n=37),其中对照组仅使用肱骨近端锁定接骨板治疗,试验组在术后接受抗骨质疏松治疗,比较两组骨折愈合时间、骨折愈合优良率、肩关节功能、疼痛程度及不良反应发生情况。结果:试验组骨折愈合时间短于对照组,骨折愈合优良率高于对照组(P<0。05);试验组术后第 3、6、12 个月肩关节功能评分均高于对照组(P<0。05);试验组术后第 3、6 个月疼痛评分均低于对照组(P<0。05),而两组术后第 12 个月疼痛评分比较,差异无统计学意义(P>0。05);试验组不良反应发生率为2。50%,低于对照组的18。92%(P<0。05)。结论:在老年骨质疏松性肱骨近端骨折患者的治疗中加入抗骨质疏松药物治疗可加快患者的康复进程,改善肩关节功能,减轻机体疼痛程度,并降低不良反应发生概率,值得临床应用。
Effect of Anti-osteoporosis Drugs on Postoperative Recovery in Elderly Patients with Osteoporotic Proximal Humeral Fracture
Objective:To investigate the effect of anti-osteoporosis drugs on the postoperative recovery of elderly patients with osteoporotic proximal humeral fracture.Methods:A retrospective study of 77 elderly patients with osteoporotic proximal humeral fractures admitted to our hospital from October 2019 to May 2021 was conducted.The patients were divided into experimental group(n=40)and control group(n=37)according to whether anti-osteoporosis drugs were used after operation.The control group was only treated with proximal humeral locking plate,while the experimental group was treated with anti-osteoporosis after operation.The fracture healing time,excellent and good rate of fracture healing,shoulder joint function,pain degree and adverse reactions were compared between the two groups.Results:The fracture healing time of the experimental group was shorter than that of the control group,and the excellent and good rate of fracture healing was higher than that of the control group(P<0.05).The scores of shoulder joint function in the experimental group were higher than those in the control group at 3,6 and 12 months after operation(P<0.05).The pain scores of the experimental group were lower than those of the control group at 3 and 6 months after operation(P<0.05),but there was no significant difference in pain scores between the two groups at 12 months after operation(P>0.05).The incidence of adverse reactions in the experimental group was 2.50%,which was lower than 18.92%in the control group(P<0.05).Conclusion:The combination of anti-osteoporosis drugs in the treatment of elderly patients with osteoporotic proximal humeral fractures can accelerate the rehabilitation process of patients,improve shoulder joint function,reduce body pain,and reduce the incidence of adverse reactions,which is worthy of clinical application.

Elderly patientsOsteoporosisProximal humeral fractureAdverse reactions

徐学禄、姜泽昭

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天津市静海区医院骨二科,天津 301600

老年患者 骨质疏松 肱骨近端骨折 不良反应

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.(1)
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