李广梅 罗小凤 范马丽

    【摘要】 目的：探討老年股骨颈骨折行髋关节置换术(HR)患者术中压疮的相关危险因素及其干预措施。方法：回顾性分析2018年2月-2020年10月于本院行HR治疗的221例老年股骨颈骨折患者的临床资料，收集患者一般资料及临床相关指标，分析行HR治疗的老年股骨颈骨折患者术中压疮的相关危险因素，并总结相应的干预措施。结果：221例患者中发生术中压疮33例(14.93%)，未发生术中压疮188例(85.07%);单因素分析显示：有糖尿病史、年龄≥70岁、体质量指数(BMI)≥24 kg/m2、术中出血量≥60 mL、血清总蛋白≤60 g/L、手术时间≥220 min者术中压疮发生率更高，差异均有统计学意义(P<0.05);多因素分析显示，有糖尿病史、年龄≥70岁、BMI≥24 kg/m2、术中出血量≥60 mL、血清总蛋白≤60 g/L、手术时间≥220 min均为老年股骨颈骨折行HR患者发生术中压疮的危险因素(P<0.05)。结论：老年股骨颈骨折行HR患者术中压疮发生与年龄、糖尿病史、BMI、术中出血量、血清总蛋白、手术时间密切相关，临床依此制定相应的干预措施，预防术中压疮发生。

    【关键词】 老年股骨颈骨折 术中压疮 髋关节置换术

    [Abstract] Objective： To investigate the related risk factors and intervention measures of intraoperative pressure ulcers in elderly patients with femoral neck fracture undergoing hip replacement (HR). Method： The clinical data of 221 elderly patients with femoral neck fracture who received HR treatment in our hospital from February 2018 to October 2020 were retrospectively analyzed. The general information and clinical indicators of the patients were collected to analyze the risk factors related to intraoperative pressure ulcers in the elderly patients with femoral neck fracture who received HR treatment ......