老年股骨粗隆间骨折PFNA治疗围手术期隐性失血分析

发布时间：2018-03-11 07:17

本文选题：股骨粗隆间骨折　切入点：隐性失血　出处：《中国骨与关节损伤杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的探讨老年股骨粗隆间骨折应用闭合复位股骨近端防旋髓内钉(PFNA)治疗隐性失血的特点及相关危险因素。方法回顾性分析自2010-04—2015-04采用PFNA治疗73例老年(≥65岁)股骨粗隆间骨折,计算其隐性失血量,比较并分析年龄差别(≥80岁、80岁)、性别、有无合并基础疾病等情况下隐性失血量的情况及影响因素。结果 PFNA术后失血总量平均为877 ml,隐性失血量为(753±88)ml,显性失血量为(122±14)ml。隐性失血是围手术期失血主要因素。年龄分层、有无合并基础疾病的PFNA围手术期隐性失血量差异有统计学意义(t=2.249,P=0.014;t=2.330,P=0.011),而不同性别间的差异无统计学意义(t=0.728,P=0.230)。结论老年股骨粗隆间骨折PFNA治疗其围手术期隐性失血是术后贫血的主要因素。高龄及合并基础疾病者更易出现大量隐性失血,需加以重视。
[Abstract]:Objective to investigate the proximal anti rotation intramedullary nail by closed reduction and femoral intertrochanteric fractures (PFNA) and risk factors for hidden blood loss. Methods Retrospective analysis of 2010-04 - 2015-04 with PFNA treatment of 73 elderly patients (over 65 years) of intertrochanteric fracture, calculate the hidden blood loss, comparison and analyze the difference in age (over 80 years old, 80 years old), there is no gender, with basic diseases under the condition of hidden blood loss and the influence factors of the amount of PFNA. The results of postoperative blood loss in total with an average of 877 ml, the hidden blood loss was (753 + 88) ml, dominant blood loss was (122 + 14) ml. the hidden blood loss is the main factors of perioperative blood loss. There is no age stratification, with basic diseases PFNA perioperative hidden blood loss was statistically significant (t=2.249, P=0.014; t=2.330, P=0.011), and different sexes had no statistical significance (t=0.728, P=0.230). Conclusion the elderly femoral PFNA is a major risk factor for postoperative anaemia. It is more likely to suffer from massive hidden blood loss in elderly patients and those with underlying diseases.

【作者单位】：福建省级机关医院骨科;解放军第175医院骨科;
【分类号】：R687.3

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