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老年多病患者中糖尿病与髋关节附近股骨骨折(作者译)

[Diabetes mellitus and femoral fractures in close proximity to the hip joint in multimorbid patients of old age (author's transl)].

作者信息

Kopp P

出版信息

Z Alternsforsch. 1976;31(6):559-66.

PMID:1014739
Abstract

From a great number of patients with femoral fractures in close proximity to the hip joint with an average age of 78.3 years, all diabetics were compared to persons with a normal metabolism in terms of concomitant diseases, causes of death, complications, and fracture healing. Although no differences with regard to fracture healing and subsequent functional results in later years could be established in patient put on the correct diet and insulin dose, as compared to the control group, the clinical complication rate and the mortality rate were significantly higher among patients of old age with Diabetes mellitus. To bring about a possible change, operating techniques providing the possibility of an early mobilisation and optimal physiotherapeutical after--care are recommended.

摘要

在大量平均年龄为78.3岁、髋关节附近发生股骨骨折的患者中,将所有糖尿病患者与新陈代谢正常的人在伴发疾病、死因、并发症及骨折愈合方面进行了比较。尽管与对照组相比,给予正确饮食和胰岛素剂量的患者在骨折愈合及随后几年的功能结果方面未发现差异,但老年糖尿病患者的临床并发症发生率和死亡率显著更高。为实现可能的改变,推荐采用能够实现早期活动及最佳物理治疗后续护理的手术技术。

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