摘要
目的探索老年髋部骨折患者术后发生脑卒中的流行病学特征。方法本研究为回顾性,纳入2018年1月至2019年6月收治的所有≥65岁发生髋部骨折的老年患者。根据病历记录和门诊随访记录,确认发生脑卒中病例。从患者电子病历中提取相关变量,包括人口学资料、骨折相关、基础疾病以及术周相关资料等。采用单因素分析比较脑卒中组和非脑卒中组间变量差异,并采用多因素的Logistics回归分析确认与脑卒中发生相关的独立危险因素。结果该段时期内共纳入患者487例,其中术后发生脑卒中18例,发生率为3.7%。多因素分析模型结果显示,髋部骨折在住院期间发生术后脑卒中的独立相关危险因素包括高龄(OR,1.09;P=0.034)、ASA分级(OR,8.17;P=0.004)、长期服用抗凝药(OR,3.51;P=0.024)和术前RDW(OR,5.59;P=0.015)。结论应高度重视髋部骨折术后发生脑卒中的高危人群,并有针对性预防,以减少脑卒中的发生。
Objective To investigate the epidemiological characteristics of the occurrence of postoperative complication in elderly patients with hip fracture and related risk factors.Methods The clinical data about the elderly patients(more than 65 years of age)with hip fracture who were treated in our hospital from January 2018 to June 2019 were retrospectively analyzed.According to the electronic medical records of outpatient follow-up,the case of cerebral stroke was confirmed.And the relevant variables were extracted from patients’electronic medical records,including demographic data,fracture-related variables,underlying diseases,and perioperative data.Moreover univariate analysis was performed to compare the variables between the stroke group and the non-stroke group,and multivariate Logistics regression analysis was used to confirm the independent risk factors related to the occurrence of cerebral stroke.Results A total of 487 patients with hip fracture were enrolled in the study,of whom,18 patients had postoperative stroke,with the incidence being 3.7%.The multivariate analysis model showed that the independent risk factors of occurrence of postoperative stroke during hospitalization inluded advanced age,ASA classification,long-term use of anticoagulant and preoperative RDW(P<0.05).Conclusion The research results suggest that high risk group of cerebral stroke after hip fracture should be paid much attention to,it is necessary to take targeted prevention measures to reduce the incidence of stroke.
作者
郄二姣
李智勇
杨毅鹏
郭倩
QIE Erjiao;LI Zhiyong;YANG Yipeng(The Third Hospital of Hebei Medical University,Hebei,Shijiazhuang 050051,China)
出处
《河北医药》
CAS
2022年第12期1814-1817,共4页
Hebei Medical Journal
基金
河北省医学科学研究重点课题(编号:20190678)。
作者简介
通讯作者:李智勇,E-mail:liyong99423@163.com。
