局解手术学杂志2025，Vol.34Issue(7)：575-578,4.DOI:10.11659/jjssx.10E024034
人工股骨头置换围术期隐性失血的危险因素分析
Risk factors of the peri-operative hidden blood loss in artificial femoral head replacement
摘要
Abstract
Objective To investigate the risk factors of peri-operative hidden blood loss in the artificial femoral head replacement.Methods Retrospective analysis was conducted on the clinical data of 106 patients who underwent artificial femoral head replacement in our hospital from January 2019 to August 2022.The peri-operative hidden blood loss was calculated according to Gross equation.The peri-operative condition of the patients was counted.The univariate analysis was used to determine the factors related with peri-operative hidden blood loss.Indicators with statistically significant differences in univariate analysis were included in the multivariate Logistic regression analysis model to screen out the independent risk factors for peri-operative hidden blood loss.Results The mean hemoglobin levels before surgery and 72 hours after surgery were(103.44±15.67)g/L and(85.65±14.53)g/L respectively,with a statistically significant difference between them(t=16.650,P<0.05).The mean peri-operative hidden blood loss was(262.43±85.79)mL.There were 94 patients with anemia,with an incidence of 88.68%.Twenty-nine patients received blood transfusions,with an transfusion rate of 27.36%.The univariate analysis showed that peri-operative hidden blood loss was related to age,fracture type,time from injury to surgery,preoperative anticoagulation(P<0.05).Multivariate Logistic regression analysis revealed that age≥80 years old,intertrochanteric femur fracture,time from injury to surgery≥5 days,and preoperative anticoagulation were independent risk factors for peri-operative hidden blood loss in artificial femoral head replacement(P<0.05).Conclusion Peri-operative hidden blood loss in artificial femoral head replacement is affected by a variety of factors,and its risk factors include age≥80 years old,intertrochanteric femur fracture,time from injury to surgery≥5 days,and preoperative anticoagulation.Patients with the above symptoms should be paid clinical attention and intervention should be initiated as early as possible to avoid peri-operative hidden blood loss and improve the prognosis of patients.关键词
髋部骨折/关节置换/隐性失血/围术期/危险因素Key words
hip fracture/joint replacement/hidden blood loss/peri-operative period/risk factors分类
医药卫生引用本文复制引用
刘永权,李永新,张玉舰,刘然..人工股骨头置换围术期隐性失血的危险因素分析[J].局解手术学杂志,2025,34(7):575-578,4.基金项目
河北省医学科学研究科研项目(20232094) （20232094）
