摘要
目的:研究老年髋部骨折患者术后并发症的危险因素分析。方法:采用病例对照研究法分析2019年1月—2020年12月苏州大学附属第二医院收治的551例老年髋部骨折患者的临床资料。随访记录患者术后并发症情况,根据术后是否发生并发症分为并发症组(99例)和无并发症组(452例)。记录两组性别、年龄、术前合并症(包括高血压、糖尿病、心血管系统疾病、慢性呼吸系统疾病、神经系统疾病、慢性肾功能衰竭)、入院时贫血、骨折类型、美国麻醉医师协会(ASA)分级、手术方式、术前等待时间、手术时间、围手术期输血等。采用单因素logistic回归分析上述指标与术后并发症的相关性,将单因素分析结果中P<0.2的所有因素纳入多因素logistic回归分析,明确术后并发症的危险因素。结果:单因素分析显示,年龄≥80岁、入院时贫血、围手术期输血、心血管系统疾病、慢性呼吸系统疾病、神经系统疾病、骨折类型、手术方式与术后并发症相关,差异有统计学意义(P<0.05)。将单因素分析中所有P<0.2的变量纳入多因素logistic回归分析,结果显示入院时贫血、年龄≥80岁、心血管系统疾病、慢性呼吸系统疾病、糖尿病与术后并发症相关。结论:入院时贫血、年龄≥80岁、心血管系统疾病、慢性呼吸系统疾病及糖尿病是术后并发症的独立危险因素。
Objective:Study the risk factors for postoperative complications in elderly hip fracture patients.Method:A case-control study was conducted to analyze the clinical data of 551 elderly patients with hip fracture admitted to the Second Affiliated Hospital Soochow University from January 2019 to December 2020.The postoperative complications of the patients were followwd up and recorded.According to whether occurred after the operation,the patients were divided into the complication group(99 cases)and the no-complication group(452 cases).The gender,age,preoperative complications(including hypertension,diabetes,cardiovascular system diseases,chronic respiratory system diseases,neurological diseases,and chronic renal failure),anemia at admission,fracture types,American Society of Anesthesiologists(ASA)grade,operative method,preoperative waiting time,duration of operation,and perioperative blood transfusion were recorded for both groups.Univariate logistic regression analysis was used to analyze the correlation between the above indicators and postoperative complications,all factors with P<0.2 in the univariate analysis were included in multivariate logistic regression analysis to identify the risk factors for postoperative complications.Result:Univariate analysis revealed that age≥80 years,anemia at admission,perioperative blood transfusion,cardiovascular system disease,chronic respiratory system diseases,neurological diseases,fracture types,and operative method were associated with postoperative complications,and the differences were statistically significant(P<0.05).All variables with P<0.2 in univariate analysis were included in the multivariable logistic regression analysis,and the results showed that anemia at admission,age≥80 years,cardiovascular system disease,chronic respiratory system disease,and diabetes were associated with postoperative complications.Conclusion:Anemia at admission,age≥80 years,cardiovascular system disease,chronic respiratory system disease and diabetes mellitus are independent risk factors for postoperative complications.
作者
胡雪峰
尹艳
张鹏
HU Xuefeng;YIN Yan;ZHANG Peng(First Affiliated Hospital of Bengbu Medical University,Anhui Provincial Key Laboratory of Organ Transplantation,Bengbu 233000,China;不详)
出处
《中外医学研究》
2025年第36期5-10,共6页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
髋骨折
并发症
老年人
危险因素
Hip fractures
Complication
Elderly
Risk factors
