摘要
目的:探讨老年骨质疏松性髋部骨折术后心脏并发症的危险因素。方法:收集2017年1月至2019年3月份我院行全髋关节置换术治疗的老年骨质疏松性髋部骨折患者127例,收集人口基线特征、围手术期特点,骨折术后心脏并发症的危险因素采用Logistic多因素分析。结果:无心脏并发症组与心脏并发症组在年龄、BMI、吸烟、高血压史、糖尿病史、高脂血症史、脑梗死史和用药史上,差异均有统计学意义(P<0.05);无心脏并发症组与心脏并发症组在麻醉方式、手术时间、术中出血量、术后并发症上,差异均无统计学意义(P>0.05);经Logistic多因素分析,年龄、BMI、高血压史、糖尿病史、高脂血症史、抗骨质疏松药物均为术后心脏并发症的独立危险因素(P<0.05)。结论:老年骨质疏松性髋部骨折术后心脏并发症发生率较高,年龄越大、BMI越高,有高血压史、糖尿病史、高脂血症史及口服抗骨质疏松药物,术后心脏并发症的风险高。
Objective:To explore the risk factors of postoperative cardiac complications in elderly patients with osteoporotic hip fracture.Methods:From January 2017 to March 2019,127 elderly patients with osteoporotic hip fracture were collected.Total hip arthroplasty was performed in selected time,and the population baseline characteristics and perioperative characteristics of patients were collected by Excel,The risk factors of cardiac complications after fracture operation were analyzed by logistic.Results:There were significant differences in age,BMI,smoking,history of hypertension,history of diabetes,history of hyperlipidemia,history of cerebral infarction and medication in the group without cardiac complications(P<0.05).There was no statistically significant difference in anesthesia mode,operation time,intraoperative blood loss,and postoperative complications between the non-cardiac complication group and the cardiac complication group(P>0.05).After logistic multivariate analysis,age and BMI,history of hypertension,history of diabetes,history of hyperlipidemia,anti-osteoporosis drugs were independent risk factors for postoperative cardiac complications(P<0.05).Conclusion:The incidence of postoperative cardiac complications in elderly patients with osteoporotic hip fracture is high.Patients with hypertension,diabetes,hyperlipidemia and oral anti osteoporosis drugs have a higher risk of heart complications.
作者
郑金艳
肖莎
吴然
ZHENG Jinyan;XIAO Sha;WU Ran(Beijing Jishuitan Hospital, Beijing 100035, China)
出处
《河北医学》
CAS
2021年第1期112-116,共5页
Hebei Medicine
基金
北京市优秀人才培养资助项目,(编号:2015000021467G179)。
关键词
老年骨质疏松
髋部骨折
心脏并发症
危险因素
Old age osteoporotic
Hip fracture
Cardiac complications
Risk factors
