摘要
目的探讨老年髋部骨折患者术后新发肺部感染的危险因素。方法回顾分析2014年1月至2015年12月在首都医科大学宣武医院治疗且获得随访的244例年龄>60岁的髋部骨折患者的临床资料,记录院内新发肺部感染情况,对感染的相关危险因素进行单因素及多因素回归分析。结果 244例老年髋部骨折患者中,发生肺部感染33例,发生率为13.52%,年龄、美国麻醉医生协会(American Society of Anesthesiologists,ASA)分级、贫血、合并慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)、合并脑梗死是导致髋部骨折患者住院期间新发肺部感染风险增高的独立危险因素(P均<0.05)。结论老年髋部骨折患者术后新发肺部感染危险因素较多,进行有针对性的干预,术前积极治疗合并症、纠正贫血、改善肺功能可能在一定程度上减少肺部感染的发生,改善预后。
Objective To investigate the risk factors for in-hospital pulmonary infection in senile hip fracture patients. Methods A retrospective cohort study was performed in 244 hip fracture patients older than 60 years old from2014 to 2015 who got followed up. Infection rate was recorded. Univariate and multivariate regression analysis was performed on relevant influencing factors. Results There were 33 cases（13.52%） with pulmonary infection in 244 patients.The independent risk factors related to pulmonary infection in the elder patients with hip fracture included the patient＇s age,American Society of Anesthesiologists（ASA） score, the level of hemoglobin, chronic obstructive pulmonary disease（COPD）, preoperative combined cerebral infarction（P〈0.05）. Conclusion Targeted interventions, preoperative active treatment of complications, improvement of lung function may help to reduce the incidence of pulmonary infection and improve the prognosis.
出处
《北京医学》
CAS
2018年第1期19-22,共4页
Beijing Medical Journal
基金
首都全科医学研究专项(17QK08)
北京市优秀人才骨干项目(2015000020124G116)
关键词
髋部骨折
术后肺部感染
危险因素
hip fracture
postoperative pulmonary infection
risk factors
