摘要
目的探讨老年髋部骨折术后早期疗效与影响因素。方法回顾性研究196例老年髋部骨折患者资料,统计分析临床相关指标,同时将患者术前全身状态及术后康复程度进行分级。结果①股骨颈骨折88例,股骨转子间骨折108例;82.7%患者于伤后1周内行手术,术后出现系统并发症者占34.2%;64.8%患者住院时间<3周。②术前患者全身状况与术后并发症发生率、术后30d内随访病死率及临床康复程度有明显的相关性。③疗效满意率达75.5%,临床康复程度A、B级与C、D级比较,术前血红蛋白及白蛋白测定、主要合并症以及认知障碍伴有率均有差异,D级康复组待手术时间相对较长。结论在恰当掌握手术指征的前提下,老年髋部骨折具有较满意的手术疗效。相关影响因素主要包括术前全身状态、营养状况、认知障碍及伤后手术时间,而与年龄、性别及骨折部位无关。
Objective To explore the early outcome postoperatively and the related influencing factors in senile patients with hip fracture. Methods 196 cases were studied retrospectively. The related clinical indexes were analyzed statistically, and the patients＇ preoperative general condition and postoperative rehabilitation were both graded in order to uncover the factors influencing the early outcome. Results （1） There were 88 cases of femoral neck fractures, and 108 cases of intertroehanteric fractures. 82. 7% cases accepted operations within 1 week after the injury. The cases having systematic complications postoperatively accounted for 34. 2% ,and the length of hospital stay was less than 3 weeks in 68.4% cases. （2） There was an obvious correlation between the preoperative general conditions and the postoperative complications ,30-day mortality rate after the surgery as well as the rehabilitation extent. （3） The clinical satisfaction ratio was 75.5 %. Compared with Grade C and D rehabilitation, Grade A and B had significant difference in preoperative hemoglobin and albumin value, main concomitant diseases, and delirium. Furthermore, Grade D had a comparatively longer period before surgery. Conclusions Under condition of proper indications, the senile hip fracture has a satisfied outcome. The related influencing factors include preoperative function, nutrition status, cognitive conditions and delays to surgery, whereas age ,gender and injured position are excluded.
出处
《临床骨科杂志》
2008年第5期406-409,共4页
Journal of Clinical Orthopaedics
关键词
老年人
髋骨折
治疗结果
aged
hip fractures
treatment outcome
