老年髋部骨折术后患者中长期的生活能力水平及其影响因素

摘要

Objective To observe two year activities of daily living of hip fractures and analysis after discharge capacity reduction of the daily life related influencing factors.Method79 men and 165 women aged 60 to 96 (mean, 76.98±8.76) years old who had hip fracture over 60 years old from 2014 to 2015 were followed up,two years postoperatively in patients with analysis of daily life ability recovery, and according to the patient Barthel index scores are divided into two groups the life cannot provide for oneself life and can provide for oneself,Univariate and multivariate regression analysis was performed on relevant influencing factors.Result Of the 244 patients, 51 cases (20.9％) patients who cannot provide for oneself, 193 cases (79.1％) can provide for oneself. Age, income, preoperative with cerebral infarction and presence of complications and postoperative elderly patients with hip fracture life ability level (P< 0.05). Multivariate regression analysis revealed that age, preoperative combined cerebral infarction, postoperative complications of hip fractures in elderly patients with poor living conditions independent risk factors for high income is hip brittle fractures in elderly patients with poor living conditions protection factor (P<0.05).Conclusion Some elderly hip fracture patients prognosis is poorer, older age, preoperative with cerebral infarction, postoperative complications and low income are independent risk factors for the prognosis of patients with poor, so for these patients, we should actively treat complications such as cerebral infarction, reduce complications.%目的 调查老年髋部骨折患者术后2年的日常生活能力恢复情况并分析其相关影响因素.方法 分析2014年1月至2015年5月在本院治疗并获随访的244例老年髋部骨折患者的病例资料,其中男79例,女165例,年龄60～96岁,平均(76.98±8.76)岁.术后随访2年,分析患者日常生活能力恢复情况,并根据Barthel指数将患者分为生活自理组与生活不能自理组,对相关危险因素进行单因素及多因素回归分析.结果 244例老年髋部骨折患者中,51例(20.9％)患者生活不能自理,193例(79.1％)生活基本能自理.单因素分析显示,年龄、收入状况、术前合并脑血管疾病及术后有无并发症与髋部骨折老年患者生活能力水平相关(P<0.05).多因素分析发现高龄、术前合并脑梗死、术后有并发症是老年髋部骨折患者日常生活能力差的独立危险因素,高收入是老年髋部骨折患者日常生活能力差的保护因素(P<0.05).结论 部分老年髋部骨折患者预后较差,高龄、术前合并脑梗死、术后有并发症及低收入是该类患者预后差的独立危险因素,因此对于上述患者,要积极治疗合并症(如脑梗死),并减少并发症的发生.