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。
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 intertroehanteric 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 signifi- cant 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.
出处
《中国现代医生》
2012年第3期37-39,共3页
China Modern Doctor
关键词
髋部骨折
老年
临床疗效
影响因素
Hip fracture
Elderly
Clinical efficacy
Influencing factors
