摘要
背景股骨转子部血运丰富,骨折部容易愈合,但是部分患者预后功能不良。目的探讨影响股骨转子间骨折患者髋关节预后功能的危险因素,以提高疗效。设计以诊断为依据的病例回顾性分析。地点和对象在首都医科大学附属宣武医院骨科完成,对象为该院收治的转子间骨折患者121例,男67例,女54例;年龄47～91岁。干预将统计指标首先进行单因素分析,计数资料,等级分组资料采用χ2检验,计量资料采用独立样本t检验,将单因素分析后P<0.05的指标进行Logistic回归分析。主要观察指标年龄、性别、骨折类型、治疗方法、复位情况、老年创伤患者身体评分(Healthevaluationofoldtraumatizedpatients,HEOTP)、多发伤和髋关节评分。结果根据Harris髋关节评分(HHS),优31例,良33例,中47例,差10例。单因素分析发现,年龄(t=4.072,P=0.001)、治疗方法(χ2=34.43,P=0.000)、复位情况(χ2=16.9,P=0.000)、HEOTP(t=14.09,P=0.000)、多发伤(χ2=4.109,P=0.037)与转子间骨折预后有显著意义(P<0.05)。Logistic回归分析发现年龄(r=-0.1253,P=0.0086)、治疗方法(r=-1.7478,P=0.0107)、复位情况(r=-2.0839,P=0.0029)、HEOTP(r=-0.0582,P=0.0002)、多发伤(r=-4.7822,P=0.0102)是影响股骨转子间骨折预后髋关节功能的独立危险因素(P<0.05)。结论年龄?
BACKGROUND:Although the blood supply of femoral intertrochanter is abundant and the fracture is easier to achieve union,a part of patients are associated with poor function after prognosis.OBJECTIVE:To explore the risk factors affecting the treatment outcome of femoral intertrochanteric fractures so as to provide a guide for a further improvement of curative effect.DESIGN:Retrospective analysis of risk factors according to the diagnose.SETTING and PARTICIPANTS:The experiment was finished in the Department of Orthopedics,Xuanwu Hospital,Capital University of Medical Sciences.A total of 121 patients including 67 males and 54 females between the ages of 47 and 91 years with intertrochanteric fractures admitted in hospital were reviewed.INTERVENTIONS:Measures were analyzed by univariance analysis.Quantitative data were processed with t test and qualitative data with χ2 test.The parameters with P< 0.05 were analyzed with Logistic regression.MAIN OUTCOME MEASURES:Age,sex,fracture types,therapeutic measure,reduction status,health evaluation of old traumatized patients(HEOTP),multi injury and hip score.RESULTS:According to Harris' hip score(HHS),31 cases were excellent,33 cases were fine,47 cases were in middle level and 10 cases were bad.Univariance analysis manifested that age(t=4.072,P=0.001),therapeutic measure(χ2=34.43,P=0.000),reduction status(χ2=16.9,P=0.000),HEOTP(t=14.09,P=0.000)and multi injury(χ2=4.109,P=0.037)were closely correlated with the prognosis of the femoral intertrochanteric fractures with a significant difference(P< 0.05).Logistic regression also showed that age(r=-0.125 3,P=0.008 6),therapeutic measure(r=-1.747 8,P=0.010 7),reduction status(r=-2.083 9,P=0.002 9),HEOTP(r=-0.058 2,P=0.000 2),multi injury(r=-4.782 2,P=0.010 2) were independent risk factors affecting hip score and prognosis of the femoral intertrochanteric fractures(P< 0.05). CONCLUSION:The function of hip suffering intertrochanteric fracture is obvious affected by age,therapeutic measure,reduction status,HEOTP and multi injury.
出处
《中国临床康复》
CSCD
2004年第23期4857-4859,共3页
Chinese Journal of Clinical Rehabilitation
