CAJ | 학술논문

目的：探讨并存症对高龄髋部骨折患者手术预后的影响。方法选择在我院接受手术治疗并入住骨科重症监护病房的80岁以上髋部骨折患者117例，记录患者的年龄、性别、体质量、骨折类型、术前并存症的有无及种类数目和手术预后。按手术预后将患者分为康复组和术后院内死亡组。单因素分析明确术后院内死亡的潜在预测因素后，将这些因素进行多因素Logistic回归分析。结果术前无并存症者仅23例(19.7%)，并存症1种者94例(80.3%)，术后院内死亡10例(8.5%)，术后院内死亡的预测因素为术前并存呼吸疾病和并存症3种或以上。结论根据术前并存症可预测高龄髋部骨折患者手术预后，术前应充分评估和准备。
목적：탐토병존증대고령관부골절환자수술예후적영향。방법선택재아원접수수술치료병입주골과중증감호병방적80세이상관부골절환자117례，기록환자적년령、성별、체질량、골절류형、술전병존증적유무급충류수목화수술예후。안수술예후장환자분위강복조화술후원내사망조。단인소분석명학술후원내사망적잠재예측인소후，장저사인소진행다인소Logistic회귀분석。결과술전무병존증자부23례(19.7%)，병존증1충자94례(80.3%)，술후원내사망10례(8.5%)，술후원내사망적예측인소위술전병존호흡질병화병존증3충혹이상。결론근거술전병존증가예측고령관부골절환자수술예후，술전응충분평고화준비。
Objective To explore the effect of comorbidities on the surgical outcomes of elderly patients with hip fracture. Methods The Age,gender,weight,type of fracture,preoperative comorbidities and surgical outcomes of 117 patients aged 80 yr or over who undergoing hip fracture surgery in our hospital were recorded. Patients were divided into rehabilitation group and postoperative in-hospital death group ac-cording to surgical outcomes. The potential predictors of postoperative in-hospital death were identified by univariate model and were then entered into multiple Logistic regression analysis. Results Twenty three patients(19. 7%)had no comorbidity,94 patients(80. 3%)had one or more comorbidities. Ten patients(8. 5%)died in hospital after the operation. Predictors of postoperative in-hospital death were preoperative respiratory diseases and three or more comorbidities. Conclusion Surgical outcomes of elderly patients with hip fracture may be predicted by analysing preoperative comorbidities. Preoperative preparations must be sufficient in order to ensure successful operation.