| 陆燕轲,兰伟红,张利阳.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[J].中国烧伤创疡杂志,2025,(2):152~156. |
| DOI： |
| 中文关键词: 髋关节骨折 老年 髋关节功能 恢复效果 影响因素 |
| 英文关键词:Hip fracture Elderly Hip joint function Recovery effect Influencing factor |
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| 中文摘要: |
| 【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。 |
| 英文摘要: |
| 【Abstract】 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%CI: 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. |
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