影响初次全髋关节置换术后快速复的相关因素分析

发布时间：2018-03-16 06:43

本文选题：全髋关节置换　切入点：快速康复　出处：《广西医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过分析围术期各因素与术后住院日的关系,探讨可能影响初次全髋关节置换患者术后快速康复的相关因素,为全髋关节置换患者快速康复策略制定提供参考。方法:回顾性分析2013年1月—2015年12月行初次全髋关节置换术的患者共272例,以术后住院日为观察结果,分析因素包括性别、年龄、疾病种类、麻醉方式、手术时间、术中出血量、术后引流量、总显性出血量、输血与否、术前术后血红蛋白含量、术前术后白蛋白含量、术后疼痛评分,先采用单因素分析,差异有统计学意义的危险因素再纳入多元线性回归分析。结果:单因素分析显示患者的年龄、性别、手术时间、术后血清白蛋白含量、术前术后血红蛋白含量、输血、疼痛评分对患者术后住院日有显著影响,多因素分析显示年龄、手术时间、输血、疼痛评分是患者术后住院日的独立影响因素。结论:年龄、手术时间、输血、疼痛会增加初次全髋关节置换患者的术后住院日,是影响患者快速康复的独立影响因素。
[Abstract]:Objective: to analyze the relationship between perioperative factors and postoperative hospitalization days, and to explore the related factors that may affect the rapid recovery of patients with primary total hip replacement. Methods: a total of 272 patients undergoing initial total hip replacement from January 2013 to December 2015 were retrospectively analyzed. Age, type of disease, anaesthesia, operative time, intraoperative bleeding, postoperative drainage, total dominant bleeding, blood transfusion, hemoglobin content before and after operation, albumin content before and after operation, postoperative pain score, Univariate analysis was used to analyze the risk factors with statistical significance. Results: univariate analysis showed age, sex, time of operation, serum albumin content after operation. Preoperative and postoperative hemoglobin content, blood transfusion and pain score had significant influence on postoperative hospitalization days. Multivariate analysis showed that age, operation time, blood transfusion and pain score were independent factors of postoperative hospitalization days. Conclusion: age, age, time of operation, blood transfusion and pain score are independent factors of postoperative hospitalization. The duration of operation, blood transfusion and pain will increase the postoperative hospitalization days of patients with primary total hip replacement, which is an independent factor affecting the rapid recovery of patients.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4

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