| 闫江涛,李纯,冯凯,等.影响老年股骨粗隆间骨折患者术后髋关节功能评分的相关因素探讨[J].中国临床保健杂志,2021,24(5):667-670. |
| 影响老年股骨粗隆间骨折患者术后髋关节功能评分的相关因素探讨 |
| Related factors influencing Harris score in elderly patients with intertrochanteric fracture |
| 投稿时间：2021-06-20 |
| DOI：10.3969/J.issn.1672-6790.2021.05.019 |
| 中文关键词: 髋骨折 髋关节 影响因素分析 骨质疏松 手术后并发症 老年人 |
| 英文关键词: Hip fractures Hip joint Root cause analysis Osteoporosis Postoperative complications Aged |
| 基金项目:河北省秦皇岛市科技计划项目(201805A133) |
| 作者 | 单位 | E-mail | | 闫江涛 | 河北省秦皇岛市骨科医院,骨科,秦皇岛 066000 | pot18952@sina.com | | 李纯 | 河北省秦皇岛市骨科医院,麻醉科,秦皇岛 066000 | | | 冯凯 | 河北省秦皇岛市骨科医院,骨科,秦皇岛 066000 | | | 邬波 | 河北省秦皇岛市骨科医院,骨科,秦皇岛 066000 | | | 王燚伟 | 河北省秦皇岛市骨科医院,骨科,秦皇岛 066000 | |
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| 中文摘要: |
| 目的 探讨影响老年股骨粗隆间骨折患者术后髋关节功能评分(Harris评分)的相关因素,为患者术后康复治疗提供参考依据,以改善预后。方法 选取2016年1月至2020年10月经临床及影像学确诊的200例老年股骨粗隆间骨折患者作为研究对象,所有患者均行闭合复位股骨近端防旋髓内钉(PFNA)治疗,术后随访12个月,应用Harris评分法评估患者的髋关节功能,并根据Harris评分结果将患者分为A组(髋关节功能优良,Harris评分≥80分)与B组(髋关节功能不良,Harris评分＜80分)；收集两组患者的一般资料,整理临床资料,对比其差异性,再运用多因素logistic回归分析法分析影响患者术后Harris评分的相关因素。结果 200例患者的Harris评分为(91.52±3.65)分；其中≥80分(A组)共141例,构成比为70.50%；＜80分(B组)共59例,构成比为29.50%。A组与B组的年龄、体质量、股骨转子间骨折(Evans)分型、美国麻醉医师协会(ASA)分级、术前合并症、骨质疏松程度、术后负重时间、骨折愈合时间等对比,差异均有统计学意义(P<0.05)。多因素logistic回归分析结果显示,年龄、体质量、Evans分型、ASA分级、术前合并症、骨质疏松程度、术后负重时间、骨折愈合时间均是影响术后Harris评分的危险因素。结论 影响老年股骨粗隆间骨折患者术后Harris评分的相关因素较多,应采取有效措施予以消除,以提高术后Harris评分,促进患者髋关节功能尽早恢复。 |
| 英文摘要: |
| Objective To explore the factors influencing the Harris score of the elderly patients with intertrochanteric fracture of femur,and provide reference for the rehabilitation treatment of the patients,so as to improve the prognosis.Methods Two hundred elderly patients with intertrochanteric fracture of femur diagnosed by clinical and imaging from January 2016 to October 2020 were collected according to the selection criteria.All patients were treated with closed reduction PFNA.After 12 months follow-up,Harris score was used to evaluate the hip function of patients,and the patients were divided into a group (excellent hip function and Harris evaluation) The results showed that the score of Harris was not higher than 80 points,and the other group B (hip function was poor,Harris score was less than 80 points);the general data of the two groups were collected,clinical data were collected,and the differences were compared.Then,the factors influencing the Harris score were analyzed by multi factor logistic regression analysis.Results Harris score of 200 patients was 91.52±3.65;141 patients with ≥80 points (group A),with composition ratio of 70.50%;59 patients with score less than 80 (group B),with a composition ratio of 29.50%.The difference was statistically significant in age,body mass,Evans classification,ASA classification,preoperative complications,osteoporosis,post operation load time and fracture healing time between group A and group B (P<0.05).The multivariate logistic regression analysis showed that age,body mass,Evans classification,ASA grade,preoperative complications,osteoporosis degree,post operation load time,fracture healing time were all risk factors affecting Harris score after operation.Conclusion There are many factors that affect the Harris score of the elderly patients with intertrochanteric fracture.Effective measures should be taken to eliminate them to improve the Harris score and promote the recovery of hip function as soon as possible. |
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