摘要
目的观察老年髋部骨折围手术期出现的相关并发症，分析其相关因素并探讨相应的防治措施。方法回顾性分析2003年6月～2014年3月我院收治的老年髋部骨折患者236例，男94例，女142例，平均年龄73．7岁，其中股骨转子间骨折136例，股骨转子下骨折27例，股骨颈骨折73例。收集所有患者的在院完整病例信息和出院后半年的随访信息．应用统计学分析性别、年龄、术前伴随病症、骨折类型、麻醉方式、手术持续时间等与所发生的相关并发症之间的关系。结果所有患者共出现并发症100例次，主要并发症为血栓栓塞性疾病、创伤后神经精神病、肺部及泌尿系感染、伤口局部并发症和心血管意外，其中单发1种并发症者59例，并发2种并发症者18例，并发3种及以上并发症者8例。并发症的发生与患者年龄、术前住院时间、骨折类型、术前伴随症以及手术持续时间等密切相关（P〈0．05，OR=3．33，回归系数为1．20）。结论老年髋部骨折围手术期并发症发生率高、风险大，应针对相关因素进行积极处理，减少发生率。
Objective To observe the peri-operative complications,analyze the risk factors,and explore the preventive and therapeutic measures for elderly hip fracture patients. Methods We retrospectively analyzed 236 elderly inpatients with hip fracture who were admitted to our hospital between June 2006 and March 2014 （94 male patients, 142 females ones,mean age 73.7 years）, 136 of whom were inter-trochanteric fractures,27 sub-trochanteric fractures, and 73 femoral neck fractures. Both the inpatient and follow-up clinical data were collected. We statistically analyzed the relationship between the complications and patients ＇gender, age, pre-operative morbidities, types of fractures,types of anesthesia,and duration of the operation. Results There were 100 cases of complications in all,the majority of which were thromboembolic disease,Post Traumatic Stress Disorder,pulmonary and urinary infections,local wound complications, and cardiovascular events. Fifty-nine patients suffered from a single complication, 18 from 2 complications,and 8 from 3 ones or above. The occurrence of complications were significantly associated with patients＇age,hospital stay before the operation,types of fractures,concurrent morbidities, and duration of the operation itself （P 〈 0.05,OR = 3.33）,with regression coefficient being 1.20. Conclusion The risk for peri-operative complications in elderly hip fracture patients are high, preventive and therapeutic measures should be undertaken to reduce their occurrences.
出处
《中华保健医学杂志》
2015年第6期443-445,共3页
Chinese Journal of Health Care and Medicine
关键词
髋部骨折
围手术期
并发症
Hip fractures
Peri-operative
Complications
