摘要
目的探讨老年人髋部骨折后低钠血症的发生及相关因素。方法选择2010年6月—2011年6月新鲜髋部骨折患者(年龄≥70岁)67例,其中股骨颈骨折25例,股骨粗隆间骨折42例。入院后第1、3天查血生化,观察血清电解质情况,记录内科并发症,探讨低钠血症的发生率和相关因素。结果 67例患者中有38例发生低钠血症,其中股骨颈骨折10例,粗隆间骨折28例。股骨粗隆间骨折比股骨颈骨折患者低钠血症的发生率要高,差异有统计学意义。低钠血症的发生与高血压病、肺部疾病和糖尿病的发生无明显相关性。结论老年人髋部骨折后常发生低钠血症,粗隆间骨折患者的发生率高于股骨颈骨折的患者,但与高血压病、肺部疾病和糖尿病等内科并发症无明显相关性。
Objective To investigate the relevant factors of hyponatremia for the elder people after hip fractures. Methods From June 2010 to June 2011,67 patients （age≥70 years） with fresh hip fractures were chosen ,of these ,25 cases were femoral neck fractures and 42 cases were intertrochanteric fractures. The blood biochemistry was done to observe electrolyte circumstances at 1 day and 3 days after admission. Medical complications of the patients were recorded in order to observe the impact of hyponatremia. Results Thirty eight patients sustained hyponatremia in all the 67 patients, in which 10 cases were femoral neck fractures and 28 cases were intertrochanteric fractures. There was significant statistical difference in the incidence of hyponatremia between patients with femoral neck fractures and intertrochanteric fractures. There was no significant correlation between hyponatremia and medical complications such as hypertension, lung disease, diabetes and so on. Conclusion Hyponatremia often occues in elderly patients with hip fractures, and especially in patients with intertrochanteric fractures, but there are no significant correlations between hyponatremia and medical complications of hypertension, lung disease , diabetes and so on.
出处
《河北医科大学学报》
CAS
2012年第12期1402-1404,共3页
Journal of Hebei Medical University
关键词
髋
骨折
低钠血症
老年人
hip
fractures, bone
hyponatremia
aged
