摘要
目的探讨老年髋部骨折术后对侧髋部再骨折的危险因素。方法选取60例老年髋部初次骨折术后康复患者为非骨折组,同期60例髋部骨折术后对侧髋部再骨折患者为骨折组。对比两组年龄、骨质疏松、术后功能锻炼、医疗依从性与合并内科疾病情况。分析老年髋部骨折术后对侧髋部再骨折的危险因素。结果两组年龄、骨质疏松、术后功能锻炼、依从性、合并内科疾病及髋关节Harris评分比较差异有统计学意义(P <0. 05);两组性别、固定方式、骨折类型及卧床时间比较差异无统计学意义(P> 0. 05)。高龄、骨质疏松、合并内科疾病、康复功能锻炼、依从性及Harris评分是导致老年髋部骨折患者术后髋部再骨折的危险因素。结论高龄、骨质疏松症、合并其它内科疾病、康复性锻炼、依从性及Harris评分是导致髋部骨折老年患者术后髋部再骨折的高危因素,临床应加以重视,并及时干预,改善老年髋部骨折患者术后康复质量。
To analyze the risk factors for contralateral hip fracture after hip fracture surgery in the elderly.We selected 60 patients undergoing primary hip fracture surgery as the non-fracture group while another 60 patients with lateral hip fractures during the same period as fracture group.The age,osteoporosis,postoperative functional exercise,medical compliance,and combined medical conditions were compared between the two groups in order to analyze the risk factors for contralateral hip fracture after hip fracture surgery.There was significant difference in age,osteoporosis,postoperative functional exercise,medical compliance and combined medical disease between the two groups(P<0.05).There was no significant difference in gender,initial fracture type,internal fixation,and bed rest time after operation between the two groups(P>0.05).The advanced age,osteoporosis,combined medical disease,postoperative functional exercise,medical compliance,and Harris score were the major risk factors for recurrent hip fractures in the elderly after hip fracture.The elderly age,osteoporosis,combined medical disease,postoperative functional exercise and medical compliance,and Harris are the major risk factors for hip fractures in the elderly after hip fracture surgery.Clinical attention should be paid and timely intervention to improve postoperative rehabilitation quality in these patients.
作者
罗家魁
LUO Jia-kui(Weixian People s Hospital,Xingtai 054700,China)
出处
《实用医院临床杂志》
2018年第6期148-150,共3页
Practical Journal of Clinical Medicine
