| 老年股骨转子间骨折手术时机对术后1年死亡率的影响 |
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Received:March 20, 2017
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| 期刊信息：《中国骨伤》2017年30卷，第7期，第602-606页 |
| DOI：10.3969/j.issn.1003-0034.2017.07.004 |
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目的：探讨手术时机对老年转子间骨折术后1年死亡率的影响，并分析影响患者术后1年内死亡的危险因素。
方法：回顾性分析2012年12月至2014年12月接受手术治疗的老年转子间骨折350例患者的临床资料，根据患者骨折受伤到手术开始时间的不同节点（72 h、96 h）分为<72 h组、72~96 h组及>96 h组。比较不同手术时间节点分组的患者术后1年内死亡率，并采用Logistic回归分析，研究影响患者术后1年内死亡的危险因素。
结果：不同手术时机（<72 h、72~96 h、>96 h）组别的患者术后1年内死亡率差异有统计学意义，死亡率分别为1.8%、8.1%、10.3%。<72 h组的患者术后1年死亡率低于72~96 h组和>96 h组（P<0.05）。多因素回归分析，发现年龄、术前合并疾病及手术时机是影响患者术后1年死亡率的独立危险因素（P<0.05，OR>1）。
结论：早期手术治疗能降低老年转子间骨折患者术后1年内死亡率，患者年龄越大、术前疾病越多及手术延迟越久则术后1年内死亡的风险越大。 |
| [关键词]:股骨骨折 手术时机 老年人 死亡率 |
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| Effect of surgical timing of femoral intertrochanteric fractures on 1-year postoperative mortality in elderly |
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Abstract:
Objective: To evaluate the effect of surgical timing of intertrochanteric fracture on 1-year postoperative mortality in elderly and analyze factors that influence 1-year postoperative mortality.
Methods: A retrospective search had been conducted to analyze 350 patients of intertrochanteric fracture from December 2012 to December 2014. The studied patients were divided into three groups such as the group of <72 h and the group of 72-96 h and the group of >96 h,which depended on the time of injury to surgery. The postoperative mortality was compared among the groups and causes of death in patients were evaluated after surgery. Multiple logistic regression was then used to distinguish independent effects on mortality.
Results: The one-year postoperative mortality of three groups(<72h,72-96 h,>96 h)were significantly different and the rate of death was 1.8%,8.1%,10.3%. The one-year postoperative mortality of the group of <72 h was inferior to the group of 72-96 h and >96 h respectively(P<0.05). Age,preoperative coexist disease and surgical timing were dependent risk factors to one-year postoperative mortality(P<0.05,OR>1).
Conclusion: The early surgery can diminish one year postoperative mortality,the patient who is older and has too many preoperative coexist diseases and is delayed to surgery has higher risk to die in one year after surgery. |
| KEYWORDS:Femoral fractures Surgical timing Elderly Mortality |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 汤超,傅士平.老年股骨转子间骨折手术时机对术后1年死亡率的影响[J].中国骨伤,2017,30(7):602~606 |
| 英文格式: | TANG Chao,FU Shi-ping.Effect of surgical timing of femoral intertrochanteric fractures on 1-year postoperative mortality in elderly[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(7):602~606 |
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