并存高血压病糖尿病高脂血病的髋部骨折并发症分析  

Analysis on the Complications of Hip Fracture with Hypertension and Diabetes and Hyper cholesterol

作　　者：张余[1] 潘刚明[2] 尹庆水[2] 徐国洲[2] 

机构地区：[1]广州中山大学 [2]广州军区广州总医院骨科,510010

出　　处：《中国矫形外科杂志》2003年第11期757-759,共3页Orthopedic Journal of China

基　　金：广东省重点攻关课题 (编号 :C31 1 0 3)

摘　　要：目的 :分析并存高血压病、高脂血症、糖尿病的髋部骨折并发症的种类 ,探讨有效的防治方法 ,提高治愈率。方法 :回顾 1997年 6月～ 2 0 0 2年 6月 5年间 ,3 65例髋部骨折患者中并存“三高”的 5 6例并发症发生、防治、疗效。结果 :并发症的发生与并存症的存在与否有显著的统计差异 ;下肢静脉血栓及应激性溃疡是最常见并发症 ,是否应用药物 ,对降低常见并发症的发生率无统计意义 ;是否手术治疗 ,对降低并发症的发生率无统计差异。结论 :并存“三高”的髋部骨折的患者 ,并发症的发生率明显增高 ;预防应用药物不能明显降低并发症的发生率 ;选择适宜的手术或非手术方法 ,是提高治愈率的关键。Objective: To analyze the kinds of complications of the patients of hip fracture with hypertension and diabetes and hyper cholesterol. To look for the effective treatments of prevention and therapy, and reduce the rate of complication and rise the rate of cure. Methods: The types of complications and means of prevention and therapy of 56 cases with '3 hyper' were summarized which come from 365 cases of hip fracture from June 1997 to June 2002. Statistical methods were used in the process. Results: The rate of complication was correlated evidently with the rate of intercurrence. Deep vena thrombus and peptic ulcer were the most common complications. Drugs can reduce the rate of complications, but it had no statistical difference. The rate of healing would be raised by operation, but it had no statistical difference. Conclusions: The rate of complication of patients of hip fracture with '3 hyper' would be raised evidently. It would not be decreased evidently by drugs. The critical things of raising cure were the appropriate therapy, correct treatment of complication and treatment.

关 键 词：髋部骨折 并发症 防治 

分 类 号：R683.3[医药卫生—骨科学]