老年髋关节骨折术后髋关节功能恢复效果的影响因素分析  

Analysis of Influencing Factors for Postoperative Recovery Effect of Hip Joint Function in Elderly Patients with Hip Fracture

作　　者：陆燕轲 兰伟红[1] 张利阳 LU Yanke;LAN Weihong;ZHANG Liyang(Department of Orthopedics,Zhengzhou Orthopedic Hospital,Zhengzhou,Henan 450000,China)

机构地区：[1]郑州市骨科医院骨科,河南郑州450000

出　　处：《中国烧伤创疡杂志》2025年第2期152-156,共5页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的分析探讨老年髋关节骨折患者术后髋关节功能恢复效果的影响因素。方法选取2020年12月至2023年12月郑州市骨科医院收治的80例老年髋关节骨折患者作为研究对象,收集患者性别、年龄、体重指数、有无肌少症、慢性病种类、骨密度、白蛋白水平、术中出血量、手术时间、巴塞尔指数以及术后首次下床活动时间、康复锻炼情况、髋关节功能恢复情况等资料,并根据患者术后3个月髋关节功能恢复情况将其分为效果优良组(Harris评分≥75分)和效果不良组(Harris评分<75分),分析髋关节功能恢复效果的影响因素。结果术后3个月,80例老年髋关节骨折患者中髋关节功能恢复优良46例(57.50%),设为效果优良组;髋关节功能恢复不良34例(42.50%),设为效果不良组。多因素Logistic回归分析结果显示,年龄、肌少症、慢性病种类、骨密度、白蛋白水平、巴塞尔指数以及术后首次下床活动时间、康复锻炼情况是老年髋关节骨折患者术后髋关节功能恢复效果的独立影响因素(95%CI为1.023~3.138、2.706~44.453、1.084~4.357、1.337~31.368、1.165~11.629、1.093~5.285、1.359~16.503、1.328~19.542,P=0.041、0.001、0.028、0.020、0.026、0.029、0.014、0.017)。结论老年髋关节骨折患者术后髋关节功能恢复效果与年龄、是否有肌少症、慢性病种类、骨密度、白蛋白水平、巴塞尔指数以及术后首次下床活动时间、康复锻炼情况密切相关。Objective To analyze the influencing factors for postoperative recovery effect of hip joint function in elderly patients with hip fracture.Methods 80 elderly patients with hip fracture admitted to Zhengzhou Orthopedic Hospital from December 2020 to December 2023 were selected as research subjects to collect the data of patients including sex,age body mass index,presence of sarcopenia,chronic disease type,bone mineral density,albumin level,intraoperative blood loss,operation time,Barthel index,first off-bed time,rehabilitation exercises,and hip function recovery.Patients were divided into the excellent recovery group(Harris score≥75 points)and the poor recovery group(Harris score<75 points)according to recovery effect of hip joint function 3 months after surgery.The influencing factors for postoperative recovery effect of hip joint function were analyzed.Results On month 3 after surgery,among the 80 elderly patients with hip fracture,46 patients(57.50%)had excellent hip joint function recovery,being set as the excellent recovery group;34 cases(42.50%)had poor hip joint function recovery,being set as the poor recovery group.Multivariate Logistic regression analysis showed that,age,sarcopenia,chronic disease type,bone mineral density,albumin level,Barthel index,first off-bed time,and rehabilitation exercises were independent risk factors for postoperative recovery effect of hip joint function in elderly patients with hip fracture(95%Cl:1.023-3.138,2.706-44.453,1.084-4.357,1.337-31.368,1.165-11.629,1.093-5.285,1.359-16.503,1.328-19.542;P=0.041,0.001,0.028,0.020,0.026,0.029,0.014 and 0.017).Conclusion Postoperative recovery effect of hip joint function in elderly patients with hip fracture was closely associated with age,sarcopenia,chronic disease type,bone mineral density,albumin level,Barthel index,first off-bed time,and rehabilitation exercises.

关 键 词：髋关节骨折 老年 髋关节功能 恢复效果 影响因素 

分 类 号：R68[医药卫生—骨科学]