并存症对高龄髋部骨折患者手术预后的影响  

Effect of comorbidities on the surgical outcomes of elderly patients with hip fracture

作　　者：戴建强[1] 郑国栋[1] 张亮达[1] 黄显华[1] 许文平[1] 邓小玲[1] 夏虹[1] 

机构地区：[1]广州军区广州总医院骨科重症监护病房,广东广州510010

出　　处：《局解手术学杂志》2014年第1期56-57,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨并存症对高龄髋部骨折患者手术预后的影响。方法选择在我院接受手术治疗并入住骨科重症监护病房的80岁以上髋部骨折患者117例,记录患者的年龄、性别、体质量、骨折类型、术前并存症的有无及种类数目和手术预后。按手术预后将患者分为康复组和术后院内死亡组。单因素分析明确术后院内死亡的潜在预测因素后,将这些因素进行多因素Logistic回归分析。结果术前无并存症者仅23例(19.7%),并存症1种者94例(80.3%),术后院内死亡10例(8.5%),术后院内死亡的预测因素为术前并存呼吸疾病和并存症3种或以上。结论根据术前并存症可预测高龄髋部骨折患者手术预后,术前应充分评估和准备。Objective To explore the effect of comorbidities on the surgical outcomes of elderly patients with hip fracture. Methods The Age, gender, weight, type of fracture, preoperative comorbidities and surgical outcomes of 117 patients aged 80 yr or over who undergoing hip fracture surgery in our hospital were recorded. Patients were divided into rehabilitation group and postoperative in-hospital death group ac- cording to surgical outcomes. The potential predictors of postoperative in - hospital death were identified by univafiate model and were then entered into muhiple Logistic regression analysis. Results Twenty three patients（ 19.7% ）had no comorbidity,94 patients（80.3% ）had one or more comorbidities. Ten patients（ 8.5% ） died in hospital after the operation. Predictors of postoperative in-hospital death were preoperative respiratory diseases and three or more comorbidities. Conclusion Surgical outcomes of elderly patients with hip fracture may be predicted by analysing preoperative comorbidities. Preoperative preparations must be sufficient in order to ensure successful operation.

关 键 词：髋部骨折 并存症 高龄患者 手术预后 

分 类 号：R687.3[医药卫生—骨科学]