髋部骨折高龄患者术后死亡的相关因素回顾性分析Retrospective analysis of relevant factors of death in postoperative elderly patients with hip fracture
熊健斌;彭伟秋;孙宏志;
摘要(Abstract):
[目的]探讨髋部骨折高龄患者手术疗效以及术后死亡的相关危险因素。[方法]选取髋部骨折高龄患者196例,随访记录患者临床资料,分析术后1年死亡率及其主要死因,应用logistic回归模型分析相关性。[结果]术后1年内有35例患者死亡,死亡率为17.86%,分析相关因素,年龄(P=0.024)、性别(P=0.031)、术前内科合并症(P=0.013)和ASA分级(P=0.000)与高死亡率具有相关性,差异均具有统计学意义(P<0.05),骨折类型、骨折部位、麻醉方式和手术方式与高死亡率无明显相关性(P>0.05);Logistic回归分析表明年龄、性别、术前内科合并症和ASA分级是其独立危险因素,差异均具有统计学意义(P<0.05)。[结论]年龄、性别、术前内科合并症和ASA分级是髋部骨折高龄患者术后1年内高死亡率的独立危险因素。
关键词(KeyWords): 股骨颈骨折;股骨转子间骨折;内固定术;髋关节置换术;回顾性分析
基金项目(Foundation): 广西自然科学基金项目合同(编号:2011GXNSFA018231)
作者(Author): 熊健斌;彭伟秋;孙宏志;
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DOI:
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