摘要
目的 探讨影响股骨转子间骨折患者预后髋关节功能的危险因素 ,为进一步提高疗效提供指导。 方法 总结 1990年 1月～ 2 0 0 0年 12月收治的 12 1例股骨转子间骨折患者 ,统计其年龄、性别、骨折类型、治疗手段、复位情况、老年创伤患者身体评分 (HEOTP)、有无多发伤和髋关节评分 ,将前 7个统计指标首先进行单因素分析。计数资料、等级分组资料采用 χ2 检验 ;计量资料采用独立样本t检验 ,将单因素分析后P <0 .0 5的指标进行Logistic回归分析。 结果 年龄、治疗手段、复位情况、HEOTP、有多发伤与转子间骨折预后有显著性意义 (P <0 .0 5～ 0 .0 0 0 2 )。Logistic回归分析发现年龄、治疗手段、复位情况、HEOTP、有多发伤是影响股骨转子间骨折预后髋关节功能的独立危险因素。 结论 年龄、治疗手段、复位情况、HEOTP、有多发伤对股骨转子间骨折预后髋关节功能均有显著影响。在治疗股骨转子间骨折时 ,应改善患者的全身状况 ,采用手术治疗并提高手术耐受性 ,术中尽可能复位 。
Objective To explore the risk factors affecting the treatment outcome of femoral intertrochanteric fractures so as to provide a guide for a further improvement of curative effect. Methods A total of 121 patients with femoral intertrochanteric fractures admitted from January 1990 to December 2000 were reviewed. All the clinical parameters including age, sex, fracture types, therapeutic measures, reduction status, HEOTP, multiple injury and hip score were investigated as predictive risk factors and the former 7 factors were analyzed by univariance analysis. Qualitative data were processed with t test and quantitative data with χ 2 test. The parameters with P <0.05 were analyzed with Logistic regression. Results Univariance analysis manifestated that age, therapeutic measures, reduction status, HEOTP and multiple injury were closely correlated with the prognosis of the femoral intertrochanteric fractures with a significant difference ( P <0.05 0.000 2). Logistic regression also showed that the same 5 clinical parameters were independent risk factors affecting hip score and prognosis of the femoral intertrochanteric fractures. Conclusions The function of hip sufferring femoral intertrochanteric fracture is dominated by age, therapeutic measures, reduction status, HEOTP and multiple injury. Upon treatment of femoral intertrochanteric fractures, we should manage to improve the systemic status of the patients and elevate the surgical tolerance so that operations can be performed successfully. Reductoin should be done in operation as possible as we can. Multiple injury should be handled actively.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2003年第2期80-82,共3页
Chinese Journal of Trauma
