老年股骨粗隆间骨折患者术后髋关节功能恢复的影响因素

发布时间：2019-05-29 05:49

【摘要】：目的探讨老年股骨粗隆间骨折患者术后影响髋关节功能恢复的因素。方法临床纳入我院骨科三病区2013年1月至2015年4月期间收治的86例老年股骨粗隆间骨折患者,所有患者均行手术治疗,术后1年随访,采用Harris髋关节评分评估患者髋关节功能恢复情况。收集患者一般资料并进行分析,采用Logistic回归分析影响患者术后髋关节功能恢复的因素。结果术后随访1年,髋关节功能恢复优良者64例(74.42%),恢复较差者22例(25.58%);恢复优良者与恢复较差者在年龄、术前ASA分级、内固定方式及骨质疏松分级方面比较差异均有统计学意义(P0.05);将上述差异有统计学意义的资料纳入Logistic回归方程中分析,结果显示,年龄、术前ASA分级、内固定方式及骨质疏松分级均是老年股骨粗隆间骨折患者术后髋关节功能恢复的影响因素。结论老年股骨粗隆间骨折患者术后髋关节功能恢复的影响因素较多,尤其是高龄患者功能恢复较差,临床上应针对影响因素采取针对性措施,改善髋关节功能恢复,提高患者生活质量。
[Abstract]:Objective to investigate the factors affecting the recovery of hip joint function in elderly patients with intertrochanteric fracture of femur after operation. Methods from January 2013 to April 2015, 86 elderly patients with intertrochanteric fracture of femur were admitted to the third orthopaedic department of our hospital. All patients were treated surgically and followed up one year after operation. Harris hip score was used to evaluate the recovery of hip joint function. The general data of the patients were collected and analyzed. Logistic regression analysis was used to analyze the factors affecting the recovery of hip joint function after operation. Results after 1 year follow-up, 64 cases (74.42%) had excellent hip joint function and 22 cases (25.58%) had poor recovery. There were significant differences in age, preoperative ASA grade, internal fixation mode and osteoporosis grade between the patients with excellent recovery and those with poor recovery (P 0.05). The statistically significant data were analyzed by Logistic regression equation. The results showed that age, preoperative ASA grade, Internal fixation and osteoporosis grade are the influencing factors of hip joint function recovery in elderly patients with intertrochanteric fracture of femur. Conclusion there are many influencing factors on the recovery of hip joint function in elderly patients with intertrochanter fracture, especially in the elderly patients. Measures should be taken to improve the recovery of hip joint function according to the influencing factors. Improve the quality of life of patients.
【作者单位】：延安大学附属医院骨科三病区;
【基金】：陕西省延安市科学技术研究发展计划项目(编号:2015KW-08)
【分类号】：R687.3

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