老年股骨颈骨折患者的循证治疗分析

目的为老年股骨颈骨折患者制定倨证治疗方案。方法在充分评估患者病情后，进行临床提问，计算机检索Cochrane图书馆（2008年4月），PubMed（2002年至2010年），Medline（2000年至2010年）和Embase（2000年至2010年），Tripdatabase，Oviddatabase和ACP（AmericanCollegeofphysicians）onlinejournal关于股骨颈骨折治疗的循证临床指南，RCT（Randomizedcon—trolledtrial），系统评价和Meta分析，并评价其质量，获取最佳证据用于临床治疗。结果共检出关于股骨颈骨折的8篇系统评价，9篇Meta分析，1篇循证治疗指南，2篇RCT。结合患者实际情况，制定出儋证治疗方案。结论采用儋证治疗方法，可为患者确定合理而安全的治疗方案。

Evidence-based treatment for elderly patient with femoral neck fracture

Objective To develop an evidence - based treatment for an elderly patient with femoral neck fracture. Method Based on the clinical question raised by a elderly patient with femoral neck fracture, we searched PubMed （ 2000 - 2010 ） , Cochrane （ 2008.4）, Mcdline （2000 - 2010 ）, Embase （2000 2010 ）, Trip database, Ovid database and ACP online journal for related systematic review, RCT and meta - analysis. Then the evidence was assessed to obtain high - quality evidence for clinical treatment. Results A total of 1 evidence -based guideline ,2 RCT,8 systematic reviews and 9 meta- analyses were included. Based on these data and conditions of the individual patient, an evidence - based treatment plan was developed. Conclusion Using an evidence - based method, a rational and safe treatment strategy can be drawn for elderly patient with femoral neck fracture.