医学临床研究
  2025年6月18日 星期三           首 页    |    期刊简介    |    编委会    |    投稿指南    |    期刊订阅    |    广告合作    |    留言板    |    联系我们    |    English
医学临床研究  2021, Vol. 38 Issue (11): 1710-1713    DOI: 10.3969/j.issn.1671-7171.2021.11.031
  论著 本期目录 | 过刊浏览 | 高级检索 |
心脏功能对老年髋部骨折患者死亡发生率影响的临床分析
辛玉玺
山东省立第三医院脊柱脊髓外科,山东 济南 250031
Effect of Cardiac Function on Mortality in Elderly Patients with Hip Fracture
XIN Yu-xi
Department of Spinal Cord Surgery, Shandong Provincial Third Hospital,Jinan 250031 China
全文: PDF (1219 KB)   HTML (0 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 【目的】探讨心脏功能对老年髋部骨折患者死亡发生率的影响。【方法】选取2017年8月至2019年12月本院收治的526例老年髋部骨折患者作为研究对象。随访1年,统计老年髋部骨折患者死亡情况,并依据是否发生死亡将患者分为死亡组和存活组。分析死亡组和存活组患者的临床资料。对比心功能不全组和心功能良好组患者生存情况。Logistic多因素回归分析影响老年髋部骨折患者死亡的因素。【结果】随访1年,老年髋部骨折患者病死率为18.63%。死亡组患者年龄、合并冠状动脉粥样硬化性心脏病占比、合并肾功能不全占比、心功能分级Ⅱ~Ⅳ级占比及保守治疗占比均显著高于存活组(P<0.05)。Logistic回归分析结果显示,肾功能不全、心功能分级Ⅱ~Ⅳ级、保守治疗均为影响老年髋部骨折患者死亡的危险因素(OR=4.141、3.572、2.866,P<0.05)。心功能不全组、心功能良好存活率分别为59.57%、86.11%,两组存活率曲线比较,差异有统计学意义(P<0.05)。【结论】肾功能不全、心功能不全及保守治疗均为影响老年髋部骨折患者死亡的危险因素,且老年髋部骨折心功能不全患者死亡率高于心功能良好者。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
辛玉玺
关键词 髋骨折/外科学心脏功能试验老年人死亡    
Abstract:【Objective】To investigate the effect of cardiac function on the incidence of death in elderly patients with hip fracture. 【Methods】A total of 526 elderly patients with hip fracture treated in our hospital from August 2017 to December 2019 was selected as the research objects. Followed up for 1 year, the death of elderly patients with hip fracture was counted, and the patients were divided into death group and survival group according to whether death occurred. The clinical data of patients in death group and survival group were analyzed. The survival of patients with cardiac insufficiency group and good cardiac function group were compared. Logistic multivariate regression analysis was used to analyze the factors affecting the death of elderly patients with hip fracture. 【Results】 The mortality of elderly patients with hip fracture was 18.63%. The age, the proportion of coronary atherosclerotic heart disease, the proportion of renal insufficiency, the proportion of cardiac function grade Ⅱ~Ⅳ and the proportion of conservative treatment in the death group were significantly higher than those in the survival group (P<0.05). Logistic regression analysis showed that renal insufficiency, cardiac function grade Ⅱ~Ⅳ and conservative treatment were the risk factors of death in elderly patients with hip fracture (OR=4.141, 3.572, 2.866, P<0.05). The survival rates of cardiac insufficiency group and good cardiac function group were 59.57% and 86.11% respectively. There was significant difference between the two groups (P<0.05). 【Conclusion】 Renal insufficiency, cardiac insufficiency and conservative treatment are the risk factors of death in elderly patients with hip fracture, and the mortality of elderly patients with hip fracture and cardiac insufficiency is higher than that of patients with good cardiac function.
Key wordsHip Fractures /SU    Heart Function Tests    Aged    Death
收稿日期: 2021-09-16     
中图分类号:  R457.1  
引用本文:   
辛玉玺. 心脏功能对老年髋部骨折患者死亡发生率影响的临床分析[J]. 医学临床研究, 2021, 38(11): 1710-1713.
XIN Yu-xi. Effect of Cardiac Function on Mortality in Elderly Patients with Hip Fracture. JOURNAL OF CLINICAL RESEARCH, 2021, 38(11): 1710-1713.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2021.11.031     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2021/V38/I11/1710
版权所有 © 2013 医学临床研究杂志社  湘ICP备13012052号-1
办公地址:湖南省长沙市芙蓉区新军路43号煤炭大院主办公楼6楼621、623、632、636室 邮编:410011 电话(传真):0731-84824007 E-mail:jcr_cs.hn@vip.163.com
技术支持:北京玛格泰克科技发展有限公司 技术支持:support@magtech.com.cn