摘要
【目的】分析影响老年髋部骨折患者术后输血的相关因素。【方法】收集湖南省人民医院骨科2010年2月至2014年4月收治的200例老年（＞60岁）髋部骨折人工股骨头置换术或切开复位内固定术患者临床资料。采用 logistic 回归分析患者的性别、年龄、ASA 分级、骨折类型、入院时血红蛋白含量、入院时是否应用阿司匹林、非类固醇抗炎药、抗血小板聚集药物等影响患者术后输血的相关因素。【结论】71．5％的患者接受了输血治疗。单因素分析表明：高龄、女性、ASA ≥ Ⅲ 级、术前低血红蛋白含量、患者术前应用了阿司匹林或者其他抗血小板聚集药物是影响术后输血的因素；多因素分析表明：术前低血红蛋白含量和抗血小板聚集药物是影响输血的独立因素。【结论】患者年龄、ASA 分级、术前血红蛋白含量和药物均为影响老年髋部骨折患者术后输血的独立因素。
[Objective] To explore the preoperative risk factors for erythrocyte transfusion in elderly hip fracture patients .[Methods] From February 2010 to April 2012 ,a total of 200 elderly hip fracture patients aged 60 years or above undergoing either hemiarthroplasty or open reduction and internal fixation （ORIF） were recruited .The relevant influencing factors of postoperative blood transfusion ,including gender ,age ,American Society of Anesthesiologists （ASA） grade ,type of fracture ,hemoglobin level at admission and medication on admission ,were analyzed with multivariate logistic regression .[Results] The overall transfusion rate was 71 .5% .Univariate analyses showed that transfusion rate was higher among females ,elders ,high ASA scorers ,patients with low admission hemoglobin and patients taking aspirin or other platelet inhibitors on admission .Multivariate analyses revealed that advanced age ,ASA ≥ 3 ,low admission hemoglobin and use of plate‐let inhibitors were all risks of receiving erythrocyte transfusion .[Conclusion] Age ,ASA ,admission hemoglo‐bin and medication are independent risk factors receiving erythrocyte transfusion in elderly hip fracture patients .
出处
《医学临床研究》
CAS
2015年第6期1085-1088,共4页
Journal of Clinical Research
关键词
髋骨折/外科学
输血
危险因素
回归分析
老年人
Hip Fractures/SU
Blood Transfusion
Risk Factors
Regression Analysis
Aged
