摘要
目的研究影响股骨粗隆间骨折患者术后死亡率的相关因素。方法对2004年1月至2010年12月的63例股骨粗隆间骨折患者进行随访研究，其中男29例，女34例；年龄28～106岁，平均（75．7±14．6）岁。左侧36例，右侧27例。观察患者的社会状况、医疗情况等因素对其死亡率的影响。用Kaplan—Meier法描述患者生存率，Log—rank检验、Cox回归找出与患者死亡率相关的因素。结果女性、年龄大于等于80岁、术后并发症均是患者死亡的危险因素，脑部功能异常、术中出血量多是决定其早、中期（3年内）死亡率的危险因素，而慢性合并症、骨折后至手术间隔时间、手术持续时间均与死亡率无关。结论对女性、高龄、脑部功能异常、术后出现并发症、术中出血量多的患者应给予足够的重视，从而减少术后死亡率。
Objective To research the influencing factors of the postoperative mortality about the intertrochanteric fracture of femur. Methods Sixty three intertrochanteric fracture patients from January 2004 to December 2010 had been retrospectively analyzed,the average time were 31.6 months,man 29 cases,women 34 cases; left 36 cases, right 27 cases; age from 28-106 years, average year （75. 7± 14. 6）years. Observe the factors of the patent＇s social condition and medical condition to the influence of mortality. We use the Kaplan-Meier to describe the mortality,Log-rank test and Cox＇s regression model to find the relative influence about the patientts mortality. Results Female ,age greater than 80 years ,postoperative complication are the risk factors to cause patients death. The brain dysfunction,blood loss during operation are the risk factors to decide mortality in early and mid term. There are not related between the chronic comorbidities,time from fracture to operation,surgery time with the mortality. Con- clusion In order to reduce the postoperative mortality,we should give more attention to the patients who are female, senior citizen ,brain dysfunction ,postoperative dysfunction and blood loss during operation.
出处
《实用骨科杂志》
2012年第1期21-23,97,共4页
Journal of Practical Orthopaedics
关键词
股骨粗隆间骨折
死亡率
危险因素
intertrochanteric fracture of femur
mortality
risk factors
作者简介
张怀华（1975-），男，主治医师，华北电网有限公司北京电力医院骨科，100073。
