| 颜世显,何学明,黄叶建,等.入院时血红蛋白及中性粒细胞与淋巴细胞比值和红细胞分布宽度对老年股骨转子间骨折患者预后的预测价值[J].中国临床保健杂志,2026,29(3):373-377. |
| 入院时血红蛋白及中性粒细胞与淋巴细胞比值和红细胞分布宽度对老年股骨转子间骨折患者预后的预测价值 |
| Predictive value of admission hemoglobin,neutrophil-to-lymphocyte ratio and red blood cell distribution width for postoperative prognosis in elderly patients with intertrochanteric femoral fractures |
| 投稿时间：2025-12-19 |
| DOI：10.3969/J.issn.1672-6790.2026.03.015 |
| 中文关键词: 股骨转子间骨折 血红蛋白类 中性粒细胞与淋巴细胞比值 红细胞指数 老年人 |
| 英文关键词: Intertrochanteric femoral fractures Hemoglobins Neutrophil-to-lymphocyte ratio Erythrocyte indices Aged Fund program:Jiangsu Provincial Health Commission Project Fund |
| 基金项目:江苏省卫生健康委员会科研项目 |
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| 中文摘要: |
| 目的 探讨入院时血红蛋白(HGB)及中性粒细胞与淋巴细胞比值(NLR)和红细胞分布宽度(RDW)对老年股骨转子间骨折患者预后的预测价值。方法 采用回顾性研究。收集2021年1月至2024年6月连云港市立东方医院收治的120例老年股骨转子间骨折患者病历资料,并根据术后3个月患者的预后情况分为良好组和不良组。对比两组的一般资料及入院时HGB、NLR、RDW水平,采用多因素logistic回归分析老年股骨转子间骨折患者预后的影响因素,并绘制受试者操作特征(ROC)曲线分析入院时HGB、NLR、RDW对老年股骨转子间骨折患者预后的预测效能。结果 与良好组比较,不良组的白蛋白、HGB水平较低,手术时间较长,年龄较大,术中输血率较高,术后引流量较多,NLR、RDW水平较高。多因素logistic回归分析显示,年龄大、术中输血、高NLR、高RDW是老年股骨转子间骨折患者预后的独立危险因素,高白蛋白、高HGB是其保护因素。HGB、NLR、RDW及三项指标联合预测老年股骨转子间骨折患者预后的ROC曲线下面积分别为0.817、0.796、0.824、0.944。结论 低HGB、高NLR、高RDW是老年股骨转子间骨折患者预后的独立危险因素,三项指标联合检测对该类患者预后具有良好的预测效能。 |
| 英文摘要: |
| Objective To investigate the predictive value of admission hemoglobin (HGB),neutrophil-to-lymphocyte ratio (NLR),and red blood cell distribution width (RDW) for postoperative prognosis in elderly patients with intertrochanteric femoral fractures.Methods Retrospective study.The medical records of 120 elderly patients with intertrochanteric femoral fractures admitted to Lianyungang Eastern Hospital from January 2021 to June 2024 were selected.Based on their postoperative 3-month prognosis,they were divided into a good prognosis group and a poor prognosis group.General data and admission levels of HGB,NLR,and RDW were compared between the two groups.Logistic multivariate regression analysis was used to identify factors influencing postoperative prognosis,and receiver operating characteristic (ROC) curves were plotted to evaluate the predictive efficacy of HGB,NLR,and RDW.Results Compared with the good prognosis group,the poor prognosis group exhibited lower levels of HGB,longer operative duration,older age,higher intraoperative blood transfusion rate,greater postoperative drainage volume,and higher NLR and RDW levels.Multivariate analysis revealed that advanced age,intraoperative blood transfusion,elevated NLR,and high RDW were independent risk factors for poor prognosis,while high albumin and high HGB were protective factors.ROC analysis showed that the areas under the curve for HGB,NLR,RDW,and their combined prediction of postoperative prognosis were 0.817,0.796,0.824,and 0.944,respectively.Conclusions Low HGB and elevated NLR and elevated RDW are independent risk factors for poor postoperative prognosis in elderly patients with intertrochanteric femoral fractures.The combination of these three indicators demonstrates superior predictive efficacy. |
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