【摘要】 目的探讨影响老年髋部骨折手术治疗效果的相关因素。方法选取广东医学院附属惠东县人民医院及南昌大学第一附属医院2011年3月至2014年8月收治的139例65岁以上髋部骨折手术治疗患者的临床资料,根据患者术后6个月随访Harris髋部功能评价分为优良组和(可+差)组,采用单因素χ2检验及多因素logistics回归分析,探讨影响老年髋部骨折手术治疗效果的危险因素。结果单因素分析显示,影响患者手术后6个月髋部功能恢复的单因素主要有年龄、骨折部位、骨折分型、受伤至手术时间、伤前ASA分级、伤前ADL评分、手术方式;多因素分析显示,年龄(OR=2.048)、骨折部位(OR=3.096)、骨折分型(OR=4.028)、受伤至手术时间(OR=5.174)、伤前ADL评分(OR=3.560)、手术方式(OR=3.928)为影响术后6个月髋部功能恢复的相关因素。结论老年髋部骨折患者手术后功能恢复情况受到多种因素的影响,应根据患者的实际情况进行术前预防,及时处理相关危险因素。更多还原

【Abstract】 Objective To explore the related factors of affecting the surgical treatment for aged patients with hip fracture. Methods The data of 139 patients who were over the age of 65 and underwent hip fracture surgery from March 2011 to August 2013 in the People’s Hospital of Huidong County which affiliated to Guangdong Medical College and the First Affiliated Hospital of Nanchang University were selected. According to the Harris hip score at 6 postoperative months,all patients were divided into excellent group and poor group. And the risk factors of hip fracture surgery were explored by univariate analysis and logistic regression analysis. Results Univariate analysis showed that the age,fracture site,fracture type,injury to the operation time,ASA score,ADL score,surgical approach were the single risk factor of affecting the recovery of hip function in patients at 6 postoperative months. The age( OR = 2. 048),fracture type( OR = 3. 096),fracture type( OR = 4. 028),injury to the operation time( OR = 5. 174),preoperative ADL score( OR = 3. 560) and surgical approach( OR = 3. 928)were the multiple risk factors. Conclusion The functional recovery of elderly patients with hip fracture after surgery affected by multiple factors,the preoperative prevention should be performed according to the actual situation of patients.更多还原