不同年龄骨质疏松性股骨颈骨折患者围术期指标、血流动力学、髋关节功能变化  

Changes of perioperative indexes,hemodynamics and hip joint function in different ages of patients with senile osteoporotic femoral neck fracture

作　　者：汤永安 张周锁 TANG Yongan;ZHANG Zhousuo(Department of Orthopedics,Xianyang Municipal First People's Hospital,Xianyang,Shaanxi 712000,China;Department of Orthopedics,Chunhua County Hospital,Xianyang,Shaanxi 711200,China)

机构地区：[1]陕西省咸阳市第一人民医院骨科,陕西咸阳712000 [2]陕西省淳化县医院骨科,陕西咸阳711200

出　　处：《检验医学与临床》2023年第19期2897-2901,共5页Laboratory Medicine and Clinic

摘　　要：目的探讨不同年龄骨质疏松性股骨颈骨折老年患者围术期指标、血流动力学、髋关节功能变化情况。方法选取陕西省咸阳市第一人民医院2020年1月至2022年1月行骨水泥型半髋关节置换术的骨质疏松性股骨颈骨折患者98例作为研究对象,依据年龄分为老年组(60~<80岁,61例)和高龄组(≥80岁,37例)。比较两组患者围术期指标,包括手术时间、术中出血量、住院时间;比较两组患者不同时点血流动力学[收缩压(SBP)、舒张压(DBP)、心率(HR)]变化;比较两组患者术后不同时段髋关节功能评分量表(Harris)评分;比较两组患者并发症发生情况。结果两组患者手术时间、术中出血量比较,差异无统计学意义(P>0.05);老年组住院时间明显短于高龄组,差异有统计学意义(P<0.05)。两组患者不同时点DBP、HR比较,差异无统计学意义(P>0.05);老年组不同时点SBP均高于高龄组,差异有统计学意义(P<0.05);两组患者在T1时SBP均低于同组T0、T2、T3时,差异有统计学有意义(P<0.05);两组患者在T2时SBP均低于同组T3时,差异有统计学有意义(P<0.05)。老年组术后1周Harris评分显著高于高龄组,差异有统计学意义(P<0.05);两组患者术后6周、3个月、6个月时Harris评分均高于同组术后1周,差异有统计学意义(P<0.05);两组患者术后3个月、6个月时Harris评分均高于同组术后6周,差异有统计学意义(P<0.05);两组患者术后6个月时Harris评分均高于同组术后3个月,差异有统计学意义(P<0.05)。两组患者并发症发生情况比较,差异无统计学意义(P>0.05)。结论不同年龄骨质疏松性股骨颈骨折患者骨水泥型半髋关节置换术后血流动力学变化存在明显差异,高龄患者血流动力学变化更大。Objective To investigate the changes of perioperative indexes,hemodynamics and hip joint function in different ages of the elderly patients with osteoporotic femoral neck fracture.Methods Ninety-eight patients with osteoporotic femoral neck fracture undergoing bone cement hemiarthroplasty in the Xianyang Municipal First People's Hospital from January 2020 to January 2022 were selected as the study subjects and divided into the elderly group(60-<80 years old,61 cases)and advanced age group(≥80 years old,37 cases)according to the age.The perioperative indexes were compared between the two groups,including the operation time,intraoperative blood loss amount and hospitalization time;the changes of hemodynamics[systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate(HR)]at different time points were compared between the two groups;the scores of the hip function rating scale(Harris)at different time after operation were compared between the two groups;the occurrence situation of complications was compared between the two groups.Results There was no statistically significant difference in the operation time and intraoperative bleeding amount between the two groups(P>0.05);the hospitalization time of the elderly group was significantly shorter than that of the advanced age group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in DBP and HR at different time points between the two groups(P>0.05);the SBP at different time points in the elderly group was higher than that in the advanced age group(P<0.05);the SBP at T1 in the two group was lower than that at T0,T2 and T3 in the same group,and the differences was statistically significant(P<0.05);the SBP at T2 in the two groups was lower than that at T3 in the same group,and the difference was statistically significant(P<0.05).The Harris score at postoperative 1 week in the elderly group was significantly higher than that in the advanced age group(P<0.05);the Harris scores at postoperative 6 weeks,3

关 键 词：骨质疏松 股骨颈骨折 骨水泥型半髋关节置换 血流动力学 老年 高龄 

分 类 号：R683.3[医药卫生—骨科学]