| 髋部骨折患者的肌少症相关危险因素分析 |
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Received:June 20, 2018
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| 作者 | Author | 单位 | Unit | E-Mail |
| 郎俊哲 |
LANG Jun-zhe |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Othopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 章轶鸥 |
ZHANG Yi-ou |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Othopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 金建锋 |
JIN Jian-feng |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Othopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 吴鹏 |
WU Peng |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Othopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 陈雷 |
CHEN Lei |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Othopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
chenlei689595@qq.com |
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| 期刊信息：《中国骨伤》2018年31卷，第10期，第912-915页 |
| DOI：10.3969/j.issn.1003-0034.2018.10.007 |
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目的：探讨肌少症在髋部骨折患者中的发生率及相关风险因素。
方法：自2013年5月至2017年1月收治髋部骨折患者187例，男99例，女88例；年龄50~95（77.40±10.58）岁。观察分析患者的一般情况、四肢骨骼肌质量指数（ASMI）、脂肪总量、骨矿含量（BMC）、身体质量指数（BMI），握力、术前血维生素D、血白蛋白、美国麻醉医师协会分级评分（ASA）及NMS运动评分。根据握力和ASMI，将患者并分为肌少症组与非肌少症组，采用单因素及多因素分析统计分析。
结果：符合肌少症诊断的患者99例（52.9%），与非肌少症组相比，肌少症的发生与高龄、高ASA、低脂肪总量、低骨矿含量、低BMI，低白蛋白、低NMS评分相关，随后进行的二元Logistic回归分析提示高龄（OR=1.804，P=0.048），高ASA评分（OR=3.052，P=0.001），低脂肪总量（OR=0.843，P=0.006），低骨矿含量（OR=0.203，P=0.026）是髋部骨折患者肌少症发生的相关因素。
结论：高龄、高ASA评分、低脂肪总量、低骨矿含量可能是髋部骨折患者肌少症的相关危险因素 |
| [关键词]:髋 骨折 危险因素 |
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| Analysis on related risk factors of hip fracture patient with sarcopenia |
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Abstract:
Objective:To explore occurrence and risk factors of sarcopenia in patients with hip facture.
Methods:From May 2013 to January 2017,187 patients with hip fractures were collected,including 99 males and 88 females aged from 50 to 95 years old with an average age of (77.40±10.58) years old. General conditions,appendicular skeletal muscle index (ASMI),total fat mass,bone mineral content (BMC),body mass index (BMI),grip strength,preoperative blood vitamin D (VITD),albumin,American Society of Anesthesiologists(ASA) classification and new mobility scores(NMS) were observed and analyzed. According to grip strength and ASMI,patients were divided into sarcopina group and non-sarcopina group,univariate and multivariate statistical methods were used to analyzed.
Results:Ninty-nine patients(52.9%) were diagnosed as sarcopenia. Compared with non-sarcopenia group,occurrence of sarcopenia was associated with advanced age,high ASA,low total fat mass,low bone mineral content,low BMI,low albumin,and low NMS. Subsequent binary logistic regression analysis showed that advanced age (OR=1.804,P=0.048),high ASA score (OR=3.052,P=0.001),low fat content (OR=0.843,P=0.006),low bone mineral salt(OR=0.203,P=0.026) were risk factors of hip fracture patient with sarcopenia.
Conclusion:Old age,high ASA score,low fat content,low bone mineral content may be related risk factors for sarcopenia in hip fracture patients. |
| KEYWORDS:Hip Fractures Risk factors |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 郎俊哲,章轶鸥,金建锋,吴鹏,陈雷.髋部骨折患者的肌少症相关危险因素分析[J].中国骨伤,2018,31(10):912~915 |
| 英文格式: | LANG Jun-zhe,ZHANG Yi-ou,JIN Jian-feng,WU Peng,CHEN Lei.Analysis on related risk factors of hip fracture patient with sarcopenia[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(10):912~915 |
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