Correlation between postoperative hip function and serum inflammatory factors in elderly patients with intertrochanteric fracture of femur
Objective To investigate the correlation between postoperative hip function and serum inflammatory factors in elderly patients with intertrochanteric fracture(IFF).Methods Eighty-four IFF patients admitted to Nanyang Second People's Hospital from June 8,2020 to June 30,2022 were selected as the study objects.A 6-month postoperative follow-up was conducted,and the hip function of patients was evaluated by Harris hip function score 6 months after surgery.Sixty-four patients with Harris score ≥80 were included in the good group,and 20 patients with Harris score＜80 were included in the general group.Patients'data were consulted,baseline data were collected,and serum inflammatory factors[INTER leukin-6(IL-6),tumor necrosis factor-α(TNF-α)]levels were detected on admission.The focus was on the a-nalysis of the relationship between postoperative hip function and serum inflammatory factors in elderly PATIENTS with IFF.Results Serum levels of IL-6(30.88±5.82)pg·mL-1 and TNF-α(43.18±6.41)pg·mL-1 in good group were lower than those in general group(42.14±6.32)pg·mL-1 and(55.49±7.51)pg·mL-1,and the difference was sta-tistically significant,t=7.400,7.193,P＜0.05.The proportion of general anesthesia(39.06％)was lower than that of the general group(70.00％),and the difference was statistically significant,x2=5.864,P＜0.05.Logistic regression a-nalysis showed that high expression of serum IL-6 and TNF-α and general anesthesia may be risk factors for general hip function in elderly PATIENTS with IFF(OR=1.147,1.162,3.640,all P＜0.05).ROC curve showed that the AUC of serum IL-6 and TNF-α for predicting the general risk of postoperative hip function in IFF elderly patients were 0.737,0.762 and 0.843,respectively,which had certain predictive value.Conclusion Serum inflammatory factors in elderly pa-tients with IFF are closely related to postoperative hip function,which may be used to predict postoperative recovery of patients.
intertrochanteric fracture of femurthe elderlyhip functionserum inflammatory factorsthe correlation
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