如何提高老年人骨折愈合及骨折病的防治

目的 :探讨如何提高 70岁以上老年人骨折愈合的因素及骨折病防治的措施和方法。方法 :( 1)老年人骨折后仔细了解骨折前疾病史并积极预防和治疗 ,对患有严重的心血管疾病和呼吸系统疾病由专科协同治疗 ;( 2 )早期有效的手术治疗方法 ;( 3 )鼓励早期肢体运动 ;( 4 )预防骨质疏松、关节退变、肌肉萎缩等骨折病。结果 :本组随访 2 5 8例 ,随访时间 1～ 5年 ,平均随访时间 3 .8年。死亡 8例 ( 3 .10 % ) ,恢复自主生活能力199例 ( 77.13 % ) ,部分恢复生活能力 3 2例 ( 12 .40 % ) ,失去生活能力 19例 ( 7.3 6% )。骨折愈合情况 :除死亡 8例外 ,2 5 0例进行定期随访 ,8～ 10个月骨折愈合 2 2 5例 ,10个月以上骨折愈合 2 5例 (其中包括慢性感染影响骨折愈合3例 ) ,内固定松动 6例 ,内固定断裂 4例。结论 :对老年人骨折在内科疾病的有效管理监护下 ,早期进行手术治疗 ,减少老年人骨折后并发症 ,积极进行肢体功能锻炼 ,能有效的提高骨折愈合和老年人日后生活质量。

Methods of enhancement of bone healing for the old people and the prevention and curation of fracture disease

Objective:To discuss the methods of enhancement of bone healing for the old people and the prevention and curation of fracture disease.Method: Firstly,knew the former disease history of the old people carefully after the fracture and took positive prevention and treatment.The patients with setious diseases of cardiovascular system and respiratory system were treated accordingly.Secondly,took early and positive operation.The third,encouraged the patients to move their extremities earlier.The fourth,took measures to prevent the fracture diseases,such as osteoporosis,joint degeneration and muscle atrophy ect.Result:Two hundred and fifty-eight cases were followed up between one and five years(mean 3.8 yrs).Eight cases ((3.10%))died,199 cases(77.13%) got complete recovery;32 cases (12.40%)got partially recovery;19 cases (7.36%)1ost the ability of life.For the 250 cases alive,225 cases got bone healing between eight and ten months,25 cases got bone healing above ten months,including 3 cases with chronic infection,6 cases with internal fixation loosening,4 cases with internal fixation failure.Conclusion:Positive treatments of basic diseases,early operation and active movement of the extremities can reduce the complications of the old people with fracture and enhance the bone healing and life quality.