150例人工髋关节置换病因学特征分析  

Analysis of etiological characteristics for artificial total hip arthroplasty

作　　者：黄大海[1] 李昌柳[1] 廖德发 胡才友[1] 黄坚汉 刘华春 何香花[1] 蒋彩 张月 吴育峰 HUANG Dahai;LI Changliu;LIAO Defa;HU Caiyou;HUANG Jianhan;LIU Huachun;HE Xianghua;JIANG Cai;ZHANG Yue;WU Yufeng(Jiangbin Hospital,Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区江滨医院,530021

出　　处：《中国老年保健医学》2024年第3期36-40,共5页Chinese Journal of Geriatric Care

基　　金：广西医药卫生科研课题(编号:Z2016242);广西科技重大专项(编号:AA23023005);广西重点研发计划(编号:AB22035006)。

摘　　要：目的探讨人工髋关节置换的病因学特征,为人工髋关节置换防治提供依据。方法回顾性分析150例人工髋关节置换患者的相关住院资料,采用秩和检验、卡方检验对不同年龄、病因、相关基础疾病等数据进行统计学分析。结果150例患者中,多数为年龄65岁以上的老年患者,女性平均年龄显著高于男性(P<0.05);本研究中,女性患者所占比例虽高于男性,但差异无显著性;在性别分组中,手术侧别和骨折类别具有统计学意义,尤以股骨颈骨折为最常见的原因(P<0.05);接受髋关节置换的患者普遍伴有基础性疾病,骨质疏松和关节疾病最常见,其次为高血压、脑卒中和2型糖尿病。结论人工髋关节置换与患者年龄、骨折类别及是否存在并发症等因素密切相关。Objective The aim of this study was to explore the aetiological characteristics of artificial total hip arthroplasty and to offer the guidance for the prevention and treatment of artificial total hip arthroplasty.Methods A retrospective analysis was conducted on the hospitalization data of 150 patients with artificial hip replacement.Rank sum test and chi square test were used to statistically analyze the data of different ages,etiology,and related underlying diseases.Results Among the 150 participants,most of them were elderly patients over 65 years old.And the average age of women was significantly higher than that of men(P<0.05).While the proportion of female patients was obviously higher than that of men,with no statistical significance.For the gender group,the side and the fracture category were statistically significant,with femoral neck fracture the most common reason in particular(P<0.05).This study showed that total hip arthroplasty was commonly accompanied by concomitant diseases,mainly osteoporosis and joint diseases,followed by hypertension,stroke and type 2 diabetes mellitus.Conclusion Artificial total hip arthroplasty was closely related to the patient's age,the fracture category and the presence of complications.

关 键 词：髋关节置换 病因学 特征分析 骨折类别 

分 类 号：R687.4[医药卫生—骨科学]