摘要
目的探讨老年下肢骨折患者出院后日常生活能力及其影响因素。方法选择2016年8月~2017年12月安徽省安庆市第一人民医院就诊的老年下肢骨折患者223例,记录年龄、性别、文化程度、婚姻状况、骨折侧、骨折位置、骨折类型、损伤原因、合并症、手术时机、麻醉方式、美国麻醉医师协会(ASA)分级、骨折后并发症、术后负重时间、抗骨质疏松治疗等资料,分析上述资料与日常生活功能恢复量表(FRS)的相关性。结果223例患者术后3个月FRS评分为22~98分,平均(68.54±6.38)分。多因素Logistic回归方程结果显示,骨折部位(髋部骨折)(OR=1.872,95%CI:1.208~4.054)、年龄≥75岁(OR=2.613,95%CI:1.792~6.945)和骨折后并发症数量(OR=4.105,95%CI:2.425~10.413)是影响患者日常生活能力的因素(P<0.05)。结论影响老年下肢骨折患者术后日常生活能力的因素较多,临床应用根据患者的情况做出准确判定,并进行针对性处理,以改善患者的日常生活能力。
Objective To explore the daily living ability and its influencing factors of elderly patients with lower limb fracture after discharge from hospital.Methods A total of 223 elderly patients with lower extremity fractures were selected from the First People′s Hospital of Anqing City in Anhui Province from August 2016 to December 2017.The age,sex,education,marital status,fracture side,fracture location,fracture type,injury cause,complications,timing of operation,anesthesia,American society of anesthesiologists ASA classification,complications after fracture,time of loading after operation,and anti-osteoporosis treatment were recorded,and the correlation between the above data and the daily life function recovery scale(FRS)was analyzed.Results The FRS score of 223 patients was 22-98 points,and average(68.54±6.38)points after 3 months.Multivariate Logistic regression equation showed that the fracture site(hip fracture)(OR=1.872,95%CI:1.208-4.054),age≥75 years(OR=2.613,95%CI:1.792-6.945)and the number of complications after fracture(OR=4.105,95%CI:2.425-10.413)were the factors affecting patients′daily living ability(P<0.05).Conclusion Many factors can affect the daily living ability of the elderly patients with lower limb fracture after operation.Clinicians should make accurate judgments according to the patients′situation,and carry out targeted treatment to improve the daily living ability of the patients.
作者
吴小秀
方宣城
WU Xiaoxiu;FANG Xucheng(The Second Department of Orthopaedic,the First People′s Hospital of Anqing City,Anhui Province,Anqing 246003,China)
出处
《中国医药导报》
CAS
2019年第21期81-84,共4页
China Medical Herald
基金
国家卫生计生委医药卫生科技发展研究中心课题(W2015QJ060)
关键词
下肢骨折
老年患者
日常生活能力
影响因素
Lower limb fracture
Elderly patients
Daily living ability
Influencing factors
