摘要
目的探讨老年骨质疏松性椎体压缩骨折(OVCF)不愈合的影响因素,并进行logistics回归分析。方法回顾性分析2013年1月—2016年7月我院收治的286例老年OVCF患者的临床资料,统计骨折不愈合例数;借助统计学软件(SPSS 21.0)对可能影响老年OVCF骨折不愈合的原因进行单因素分析,并进行多因素logistic回归分析。结果 286例老年OVCF患者中有55例出现不愈合,发生率为19.23%;经单因素分析发现,年龄>70岁、合并骨折病史、重度骨折、合并糖尿病、骨密度T值≤-2.5及骨折愈合形态为楔形等因素的患者中OVCF骨折不愈合构成比显著高于年龄≤70岁、未合并骨折病史、重度骨折、糖尿病、骨密度T值>-2.5及骨折愈合形态为凹陷患者的构成比(P<0.05);影响老年OVCF骨折不愈合多因素中由高至低依次是骨密度T值(OR=3.898)、年龄(OR=4.710)、骨折程度(OR=1.556)、骨折愈合形态(OR=2.415)、合并骨折病史(OR=1.128)及合并糖尿病(OR=1.113)。结论影响老年OVCF不愈合的因素较多,临床上应针对上述因素加强防范及治疗,以促进患者早日康复。
OBJECTIVE To explore the factors influencing nonunion of elderly osteoporotic vertebral compression fractures（OVCF）, and analyze by Logistics regression analysis. METHODS Clinical data of 286 cases of elderly patients with OVCF treated in our hospital were analyzed retrospectively, and the cases of nonunion were figured. Statistical Software（SPSS 21.0 version） was used to analyze the factors influencing nonunion of elderly OVCF by single factor analysis and multi-factors Logistic regression analysis. RESULTS Among 286 cases of elderly patients with OVCF, there were 55 cases nonunion, with the rate of 19.23%. Single factor analysis showed OVCF fracture nonunion ratios in age more than 70 years old, combined with fracture history, severe fracture, diabetic compli- cation, bone mineral density T value was less than people who wererno more than -2.5, fracture healing morphology for wedge and other factors were significantly higher than age less than or equal to 70 years old, combined with no fracture history, no severe frac- ture, no diabetic complication, bone mineral density T value more than -2.5, fracture healing morphology for sunken and other factors （P〈0.05）. Factors influencing nonunion of elderly OVCF, from high to low in turn, were T value of bone mineral density（OR=3.898）, age（OR=4.710）, fracture degree （OR=1.556）, fracture healing morphology（OR=2.415）, combined with fracture history（OR=1.128） and diabetes mellitus （OR=1.113）. CONCLUSION There were many factors that affected the nonunion of OVCF in elderly patients, so the prevention and treatment should be strengthened according to the above factors so as to oromote the rehabilitation of the elderly.
作者
高健强
信晓燕
GAO Jian-qiang XINXiao-yan(The People＇s Hospital of Huating, Huating, Gansu, 744100, China)
出处
《中国初级卫生保健》
2017年第9期86-88,共3页
Chinese Primary Health Care
关键词
老年患者
骨质疏松性椎体压缩骨折
骨折不愈合
多因素分析
elderly patients
osteoporotic vertebral compression fractures
fracture Nonunion
muhivariate analysis
