老年髋部骨折患者术后早期效果及影响因素分析(1)
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[摘要] 目的 对老年髋部骨折术后早期临床疗效进行观察并对其影响因素进行调查分析。 方法 收集老年髋部骨折患者275例，对其临床指标进行分析。 结果 ① 股骨颈骨折及其股骨转子间骨折的患者分别为125、150例。②将高度危险组、中度危险组及其相对安全组进行比较发现，三组间的年龄差异有统计学意义(P < 0.05)；患者术后出现主要并发症、术后认知障碍或加重、术后30 d死亡、术后平均住院天数及其术后康复A级或B级具有统计学意义(P <0.05)。③患者临床康复优良率达78.2%。与C、D级比较，A、B级患者的术前血红蛋白、术前白蛋白明显增高，术前合并认知障碍及其术前主要并发症也具有统计学意义(P < 0.05)，与D级比较，A、B、C三级的伤后手术时间差异具有统计学意义(P < 0.05)。 结论 掌握好老年髋部骨折患者的具体的手术指征，对其采用手术的方法进行治疗能够收到较为满意的治疗效果。
[关键词] 髋部骨折；老年；临床疗效；影响因素
[中图分类号] R683.3 [文献标识码] B [文章编号] 1673-9701(2012)03-0037-03
Early clinical efficacy and its influencing factors of hip fracture in elderly patients
YANG Xusong
Tongxiang City the Second People's Hospital in Zhejiang Province, Tongxiang 314511, China
[Abstract] Objective To observe the the clinical effect of hip fracture in elderly and its influencing factors. Methods We selected 275 elderly cases with hip fracture, the clinical indicators used statistical methods for analysis. Results ①Femoral neck fracture and intertrochanteric fracture of the number of patients were 125, 150 cases. ② The high risk group, moderate risk group and its relatively safe group were compared, there was statistically significant in the age difference (P < 0.05); patients with major postoperative complications, postoperative cognitive impairment or increased, after the 30 day mortality, mean length of hospital stay and postoperative rehabilitation of class A or B grade differences were statistically significant (P < 0.05). ③ The rehabilitation good rate was 78.2%. Compared with C, D level, A, B patients with preoperative hemoglobin,preoperative albumin, preoperative cognitive impairment and its major complications with preoperative significant difference (P < 0.05), compared with D grade, A, B, C levels after injury, surgery time difference was significant (P <0.05). Conclusion Master hip fracture in elderly patients with specific indications for surgery, its use of surgical methods of treatment can be more satisfactory therapeutic effect.
[Key words] Hip fracture; Elderly; Clinical efficacy; Influencing factors
老年人发生髋部骨折后往往预后较差，其致残率及其病死率均较高[1]。关于髋部骨折患者在术后的长期功能状态方面的报道较多，但是，老年髋部骨折患者术后早期有何疗效及其对于其影响因素调查方面的报道较少 ......
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