CAJ | 학술논문

目的探讨髋关节置换术后脑梗死发生的独立危险因素,为髋关节术后预防脑梗死提供理论依据.方法回顾分析2003年1月至2008年9月行髋关节置换资料完整患者571例,术后并发脑梗死患者23例.对脑梗死患者的危险因素进行单因素和多因素相关分析.结果单因素分析髋关节置换术后脑梗死危险因素主要为年龄(OR=1.075,95% CI:1.031～1.122,P=0.001)和股骨颈骨折(OR=0.673,95% CI:0.126～0.732,P=0.008).多因素分析髋关节置换术后脑梗死患者危险因素为年龄(OR=1.054,95% CI:1.005～1.105,P=O.029).结论高龄(＞70岁)和股骨颈骨折为髋关节置换术后脑梗死的独立危险因素.
목적 탐토관관절치환술후뇌경사발생적독립위험인소,위관관절술후예방뇌경사제공이론의거.방법 회고분석2003년1월지2008년9월행관관절치환자료완정환자571례,술후병발뇌경사환자23례.대뇌경사환자적위험인소진행단인소화다인소상관분석.결과 단인소분석관관절치환술후뇌경사위험인소주요위년령(OR=1.075,95% CI:1.031～1.122,P=0.001)화고골경골절(OR=0.673,95% CI:0.126～0.732,P=0.008).다인소분석관관절치환술후뇌경사환자위험인소위년령(OR=1.054,95% CI:1.005～1.105,P=O.029).결론 고령(＞70세)화고골경골절위관관절치환술후뇌경사적독립위험인소.
Objective To investigate the independent risk factors for cerebral infarction so as to provide a theoretical basis for the prevention of cerebral infarction after total hip arthroplasty.Methods A retrospective analysis of 571 patients for hip arthroplasty was conducted from January 2003 to September 2008.Twenty-three patients were found with cerebral infarction postoperatively.Single-factor and multi-factor correlation analyses were tested for the patients with cerebral infarction after hip arthroplasty.Results The single-factor analysis for hip arthroplasty revealed that age(P=0.001)and femoral neck fracture(P=0.008)were the main factors for cerebral infarction.Furthermore,age was considered a risk factor for cerebral infarction after hip arthroplasty in multi-factor analysis(P=0.029,OR=1.054,95% CI:1.005-1.105).Conclusion Advanced age(＞70 yr)and femoral neck fracture are the main independent risk factors for cerebral infarction after hip arthroplasty.