中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
28期
6-8
,共3页
张忠平%赵剑%刘俊%张浩
張忠平%趙劍%劉俊%張浩
장충평%조검%류준%장호
股骨粗隆间骨折%股骨近端防旋髓内钉%隐性失血%危险因素
股骨粗隆間骨摺%股骨近耑防鏇髓內釘%隱性失血%危險因素
고골조륭간골절%고골근단방선수내정%은성실혈%위험인소
Intertrochanteric fracture%Proximal femoral nail antirotation%Hidden blood loss%Risk factor
目的 探讨PFNA治疗股骨粗隆间骨折隐性失血的特点及影响因素. 方法 回顾性研究2011年6月—2014年2月采用PFNA治疗的股骨粗隆间骨折的患者69例进行统计围手术期的隐性失血,对年龄、性别、肥胖及骨折类型进行分析,并分析隐性失血对术后康复的影响. 结果 男性组与女性组、肥胖组与非肥胖组间隐性失血均差异无统计学意义(P>0.05),高龄组的隐性失血量高于非高龄组(P<0.05). 在隐性失血量方面,不同骨折类型之间比较,差异均有统计学意义(P<0.05). 隐性失血量<650 mL与隐性失血量>650 mL组间术后弃拐时间差异有统计学意义(P<0.05);两组骨折愈合时间、患髋Harris评分均差异无统计学意义(P>0.05).结论 PFNA治疗股骨粗隆间骨折存在较多的隐性失血,性别、肥胖不是隐性失血的危险因素,高龄、骨折类型是隐性失血的危险因素,隐性失血对术后康复有重要影响.
目的 探討PFNA治療股骨粗隆間骨摺隱性失血的特點及影響因素. 方法 迴顧性研究2011年6月—2014年2月採用PFNA治療的股骨粗隆間骨摺的患者69例進行統計圍手術期的隱性失血,對年齡、性彆、肥胖及骨摺類型進行分析,併分析隱性失血對術後康複的影響. 結果 男性組與女性組、肥胖組與非肥胖組間隱性失血均差異無統計學意義(P>0.05),高齡組的隱性失血量高于非高齡組(P<0.05). 在隱性失血量方麵,不同骨摺類型之間比較,差異均有統計學意義(P<0.05). 隱性失血量<650 mL與隱性失血量>650 mL組間術後棄枴時間差異有統計學意義(P<0.05);兩組骨摺愈閤時間、患髖Harris評分均差異無統計學意義(P>0.05).結論 PFNA治療股骨粗隆間骨摺存在較多的隱性失血,性彆、肥胖不是隱性失血的危險因素,高齡、骨摺類型是隱性失血的危險因素,隱性失血對術後康複有重要影響.
목적 탐토PFNA치료고골조륭간골절은성실혈적특점급영향인소. 방법 회고성연구2011년6월—2014년2월채용PFNA치료적고골조륭간골절적환자69례진행통계위수술기적은성실혈,대년령、성별、비반급골절류형진행분석,병분석은성실혈대술후강복적영향. 결과 남성조여녀성조、비반조여비비반조간은성실혈균차이무통계학의의(P>0.05),고령조적은성실혈량고우비고령조(P<0.05). 재은성실혈량방면,불동골절류형지간비교,차이균유통계학의의(P<0.05). 은성실혈량<650 mL여은성실혈량>650 mL조간술후기괴시간차이유통계학의의(P<0.05);량조골절유합시간、환관Harris평분균차이무통계학의의(P>0.05).결론 PFNA치료고골조륭간골절존재교다적은성실혈,성별、비반불시은성실혈적위험인소,고령、골절류형시은성실혈적위험인소,은성실혈대술후강복유중요영향.
Objective To explore the characteristics and influencing factors of the hidden blood loss during treatment of the in-tertrochanteric fracture with proximal femoral nail antirotation (PFNA). Methods A retrospectively analysis was performed on 69 patients with intertrochanteric fracture treated by PFNA from June 2011 to February 2014 for making clear the hidden blood loss in the perioperative period. The age, gender, obesity and type of fracture were analyzed. The impact of hidden blood loss on post-operative rehabilitation was also analyzed. Results There were no difference in hidden blood loss between male group and female group, obesity group and normal group(P>0.05). There were more hidden blood loss in advanced age group than non-advanced age group (P<0.05). There was significantly different difference in the hidden blood loss between different type of fracture group(P<0.05). There was significantly different difference in the discarding crutches time between the group whose hidden blood loss were less than 650mL and the group whose hidden blood loss were more than 650 mL (P<0.05), however, there was no significantly different difference in the fracture healing time and Harris score between the two groups (P>0.05).Conclusion There is much hidden blood loss during treatment of the intertrochanteric fracture with PFNA. Gender and obesity are not the risk factors of the hidden blood loss, but advanced age and fracture type are. The hidden blood loss has an important impact on the postoperative rehabilitation of the patients.
