中国组织工程研究Issue(4)：755-760,6.DOI:10.3969/j.issn.2095-4344.2013.04.029
非手术治疗老年髋部骨折影响预后的因素☆
Factors influencing the prognosis of elderly patients with hip fracture after nonoperative management
杨子波 1向珊珊 2张志奇 1刘进 1张紫机 1康焱 1廖威明 1傅明1
作者信息
- 1. 中山大学附属第一医院关节外科，广东省广州市510080
- 2. 江门市中心医院，广东省江门市529030
- 折叠
摘要
Abstract
BACKGROUND: Hip fracture is common fracture type in the elderly patients, and most of the patients were treated with operation. But there are stil a lot of patients treated with non-operation therapy for a variety of reasons. OBJECTIVE: To explore the factors that influence the prognosis of elderly patients with hip fracture treated non-surgical y. METHODS: Sixty-one elderly patients aged more than 60 years with hip fracture were col ected from January 2001 to December 2007 and treated non-surgical y, and the clinical data of the patients were retrospectively analyzed. Data of comorbidities, Harris hip score and other important data were col ected. The SPSS 13.0 software was used to analyze the prognostic factors through univariate and multivariate method in order to find the factors that could affect the survival of the elderly patients with hip fracture treated non-surgical y. RESULTS AND CONCLUSION: After fol owed-up to July 2008, 19 patients survived. The result of Harris hip score in 19 survival case was 43.58 in average. Among the 19 survival cases, 11 patients < 70 years old and the Harris hip score was (55.81±29.59); 8 patients > 70 years old and the Harris hip score was (26.75±23.58). There was a significant difference of Harris hip score between them (P < 0.05). The 1, 2 and 5 years survival rates of the 61 cases were 0.803±0.051, 0.607±0.063 and 0.301±0.072, respectively. Based on univariate log-rank analysis, age, posture (bedridden or non-bedridden) and the serum albumin concentration had great significance on the prognosis (P < 0.05). COX multivariate regression analysis showed that age and posture (bedridden or non-bedridden) had independent prognostic significance (P < 0.05). It showed that for the elderly patients over 70 years old with hip fracture treated non-surgical y, age and posture (bedridden or non-bedridden) were the main factors to affect the survival rate.关键词
骨关节植入物/骨关节植入物临床实践/髋/骨折/高龄/非手术治疗/预后/生存率/卧位状态/白蛋白/评估Key words
bone and joint implants/clinical practice of bone and joint implants/hip/fracture/elderly/non-surgical treatment/prognosis/survival rate/supine state/albumin/assessment分类
医药卫生引用本文复制引用
杨子波,向珊珊,张志奇,刘进,张紫机,康焱,廖威明,傅明..非手术治疗老年髋部骨折影响预后的因素☆[J].中国组织工程研究,2013,(4):755-760,6.
