| 用循证医学证据指导股骨粗隆间骨折的治疗决策 |
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| 引用本文： | 赵文志,张路,方旭,何盛为. 用循证医学证据指导股骨粗隆间骨折的治疗决策[J]. 医学与哲学(人文社会医学版), 2008, 29(9): 39-41 |
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| 作者姓名： | 赵文志 张路 方旭 何盛为 |
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| 作者单位： | 大连医科大学附属第二医院骨科,辽宁大连116023 |
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| 摘 要： | 用循证医学证据指导股骨粗隆间骨折的治疗决策，在权威评价系统中查询最佳证据。结果显示，外固定架和髁一头型钉不适用粗隆间骨折；DHS具有明显优势；不能证明人工关节置换和内固定何者占优。提示应用循证医学证据指导股骨粗隆间骨折的治疗决策，可以对患者实施个体化治疗。
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| 关 键 词： | 循证医学 股骨粗隆间骨折 临床决策 |
The Treatment-Decision of Intertrochanteric Femoral Fracture Directed by Evidence-Based Medicine Proof |
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| Affiliation: | ZHAO Wen-zhi, ZHANG Lu , FANG Xu ,et al.( Department of Orthopedics, The Second Affiliated Hospital of Dalian Medical University, Dalian 116023 ,China) |
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| Abstract: | To direct the treatment decision-making of the intertrochanteric femoral fractures with evidence-based medicine （EBM） proof. The beat evidence was inquired in authoritative evaluation system. External fixators and condylocephalic nails were not appropriate for intertrochanteric femoral fractures;DHS is obviously advanced in intertrochanteric femoral fractures. There was insufficient evidence that could prove which was more suitable between replacement arthroplasty and internal fixation. Appling the EBM evidence to direct the treatment decision making of intertrochanteric femoral fractures we can perform individual treatments for different patients. |
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| Keywords: | evidence- based medicine intertrochanteric femoral fracture clinical decision |
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