股骨*端防旋髓内钉治疗老年股骨粗隆间骨折隐性失血的影响因素分析_论文

发布于:2021-10-19 13:11:36

中国医药导报 2019 年 3 月第 16 卷第 9 期 窑 临床医学-骨科 窑 股骨*端防旋髓内钉治疗老年股骨粗隆间骨折 隐性失血的影响因素分析 饶海军 朱智奇 林学扬 广东省深圳市龙岗区人民医院骨科袁广东深圳 518000 [摘要] 目的 研究分析股骨*端防旋髓内钉渊PFNA冤治疗老年股骨粗隆间骨折渊FIF冤隐性失血的影响因素遥 方法 回 顾性分析 2013 年 8 月耀2018 年 2 月就诊于广东省深圳市龙岗区人民医院的 80 例老年 FIF 患者袁所有患者均给予 PFNA 术式治疗袁统计并记录患者的资料数据袁随访 6 个月袁分析患者的疗效情况袁PFNA 治疗 FIF 隐性失血的单 因素及影响因素遥 结果 80 例患者经过 PFNA 治疗后袁总有效率为 98.75%遥年龄逸70 岁尧有基础疾病以及不稳定 性骨折患者的隐性失血量均分别较年龄约70 岁尧无基础疾病及稳定性骨折者更高渊P 约 0.05冤遥 Logistic 回归分析发 现袁PFNA 治疗 FIF 隐性失血的影响因素包括年龄逸70 岁尧有基础疾病袁以及不稳定性骨折渊P < 0.01冤遥 结论 应 用 PFNA 治疗老年 FIF 患者的效果较好袁导致其发生隐性失血的影响因素主要有年龄逸70 岁尧有基础疾病袁以及 不稳定性骨折袁临床上可对上述因素采取干预措施以帮助患者获得更好的预后遥 [关键词] 股骨*端防旋髓内钉曰老年曰股骨粗隆间骨折曰隐性失血曰影响因素 [中图分类号] R687.4 [文献标识码] A [文章编号] 1673-7210渊2019冤03渊c冤-0079-04 Analysis of the influencing factors of proximal femoral anti-rotation in鄄 tramedullary nail in the treatment of intertrochanteric fracture in senile patients with recessive blood loss RA O Haijun ZHU Zhiqi LIN Xueyang Department of Orthopaedics, Shenzhen Longgang District People忆s Hospital, Guangdong Province, Shenzhen 518000, China [Abstract] Objective To investigate and analyze the influencing factors of proximal femoral anti-rotation intramedullary nail (PFNA) in the treatment of senile intertrochanteric fracture (FIF). Methods Retrospective analysis was performed on 80 elderly FIF patients admitted to Shenzhen Longgang District People忆 s Hospital from August 2013 to February 2018, All patients were given PFNA operative treatment, and data of the patients were statistically recorded. The pa鄄 tients were followed up for 6 months to analyze the efficacy of the patients and the single and influential factors of PF鄄 NA in the treatment of FIF occult blood loss. Results After PFNA treatment, the total effective rate of 80 patients was 98.75%. Recessive blood loss was higher in patients aged逸70 years, with basic diseases and unstable fractures than in patients aged 约70 years, without basic diseases and stable fractures, respectively (P 约 0.05). According to the Logistic regression analysis, the influencing factors of PFNA in the treatment of FIF occult blood loss include age 逸70 years old, basic diseases, and unstable fractures (P < 0.01). Conclusion The therapeutic effect of PFNA on the treatment of elderly FIF patients is relatively good, and the main influencing factors for the occurrence of recessive blood loss are age逸70 years old, underlying diseases, and unstable fractures. Clinically, intervention measures can be taken for the above factors to help patients obtain a b

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