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影响老年髋部骨折手术风险的相关因素分析

曾日祥 马勇 张耀强

局解手术学杂志2016,Vol.25Issue(4):286-288,289,4.
局解手术学杂志2016,Vol.25Issue(4):286-288,289,4.DOI:10.11659/jjssx.09E015104

影响老年髋部骨折手术风险的相关因素分析

Related risk factors of surgery for aged patients with hip fracture

曾日祥 1马勇 2张耀强1

作者信息

  • 1. 广东医学院附属惠东县人民医院骨科,广东惠东516300
  • 2. 南昌大学第一附属医院骨二科,江西南昌330006
  • 折叠

摘要

Abstract

Objective To explore the related factors of affecting the surgical treatment for aged patients with hip fracture.Methods The data of 139 patients who were over the age of 65 and underwent hip fracture surgery from March 2011 to August 2013 in the People’ s Hospital of Huidong County which affiliated to Guangdong Medical College and the First Affiliated Hospital of Nanchang University were se-lected.According to the Harris hip score at 6 postoperative months,all patients were divided into excellent group and poor group.And the risk factors of hip fracture surgery were explored by univariate analysis and logistic regression analysis.Results Univariate analysis showed that the age, fracture site, fracture type, injury to the operation time, ASA score, ADL score, surgical approach were the single risk factor of af-fecting the recovery of hip function in patients at 6 postoperative months.The age (OR=2.048),fracture type (OR=3.096),fracture type (OR=4.028), injury to the operation time (OR=5.174),preoperative ADL score (OR=3.560) and surgical approach(OR=3.928) were the multiple risk factors.Conclusion The functional recovery of elderly patients with hip fracture after surgery affected by multiple fac-tors,the preoperative prevention should be performed according to the actual situation of patients.

关键词

髋部骨折/老年患者/手术/治疗效果/相关因素/χ2 检验/logistics回归分析

Key words

hip fracture/elderly patients/surgery/treatment effect/related factors/chi-square/logistic regression analysis

分类

医药卫生

引用本文复制引用

曾日祥,马勇,张耀强..影响老年髋部骨折手术风险的相关因素分析[J].局解手术学杂志,2016,25(4):286-288,289,4.

基金项目

广东省惠州市科技局课题 ()

局解手术学杂志

OACSTPCD

1672-5042

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