髋部骨折对老年患者生存质量影响的研究  

Effects of Hip Fractures to the Quality of Life in Old Patients

作　　者：李贺丹[1] 陈谊[1] 杨静华[1] 徐丹[1] 费菡 王茜[1] 刘树霞[1] Li Hedan;Chen Yi;Yang Jinghua(Department of Orthopaedics,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院骨科,广东广州510515

出　　处：《实用骨科杂志》2018年第9期799-801,共3页Journal of Practical Orthopaedics

摘　　要：目的利用欧洲五维健康量表(five-dimensional instrument of Euro Qol questionnaire,EQ-5D)评估老年髋部骨折患者骨折前后及术后的生存质量变化情况。方法回顾性选择老年髋部骨折患者82例,采用EQ-5D对患者不同时期的生存质量进行评估,记录EQ-5D指数及视觉模拟评分(visual analogue scale,VAS)。结果髋部骨折术后1年EQ-5D指数及VAS评分较骨折后明显改善。年龄和合并症明显与患者术前及术后的生存质量降低相关,性别和手术方式对术后1年的生存质量无显著影响。结论髋部骨折显著降低老年患者的生存质量,手术可提高患者骨折后的生存质量,积极预防髋部骨折可避免老年患者生存质量降低。Objective To evaluate the changes of quality of life before and after hip fractures in old patients,using the five-dimensional instrument of Euro Qol questionnaire（EQ-5 D）.Methods A total of 82 elderly patients with hip fractures were selected retrospectively in this study.The quality of life was investigated using the EQ-5 Dquestionnaire in different periods.The EQ-5 Dindex and visual analogue scale scores（VAS）were recorded.Results The EQ-5 Dindex and VAS scores were significantly improved one year after hip surgery,compared with that after hip fractured.Decreased of quality of life was related with the age and the complications before injured.The gender and surgical methods had few effects on the quality of life one year after hip surgery.Conclusion The quality of life is significantly decreased after hip fractured,and it is improved by surgeries.To avoide decreasing of the quality of life,it is essential to prevent from hip fractures.

关 键 词：髋部骨折 生存质量 欧洲五维健康量表 

分 类 号：R683.3[医药卫生—骨科学]