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老年人髋部骨折术后对侧髋部再骨折危险因素策略探讨

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目的 分析老年人髋部骨折术后出现对侧髋部再骨折的影响因素。方法 选取2020年5月—2022年2月本院收治的100例髋部骨折老年患者出现对侧髋部再骨折情况,分别记作骨折康复组(n=30)、骨折危险组(n=70),统计侧髋部再骨折的相关危险因素,制定科学的预防方案,促进患者更好康复。结果 骨折危险组患者年龄均值(80。23±4。28)岁,术后不能及时进行功能训练有71例患者、占比73。3%,属于骨质疏松有19例、占比63。3%,伴随内科病症有23例、占比76。7%,依从性差为17例、占比56。7%,末次观察髋关节功能评分均值(82。03±2。40),各个项目数据和骨折康复组患者比较,差异存在统计学意义(P<0。05);对侧髋部再骨折的危险因素比较多,有高龄、骨质疏松、伴随内科病症、术后没有及时进行功能训练、依从性差、末次观察髋关节功能评分。结论 对髋部骨折术干预的老年患者,医护工作者应针对性实施干预工作,预防患者有骨质疏松、设计科学的功能训练方案、动态了解髋关节功能表现,有效开展术后指导,避免患者在术后出现侧髋部再骨折问题,保障患者康复质量。
Risk Factors for Contralateral Hip Refracture in Elderly Patients after Hip Fracture Surgery
Objective To analyze the influencing factors of lateral hip refracture in elderly patients after hip fracture.Methods A total of 100 elderly patients with hip fracture admitted to our hospital from May 2020 to February 2022 were selected for hip fracture surgery,and were recorded as fracture rehabilitation group(n=30)and fracture risk group(n=70),and the related risk factors of hip refracture were statistically analyzed,and scientific prevention programs were formulated to promote better rehabilitation of patients.Results The mean age of patients in the fracture risk group was(80.23±4.28)years old,71 patients could not conduct functional training in time after surgery,accounting for 73.3%,19 patients belonged to osteoporosis,accounting for 63.3%,23 cases were accompanied by medical diseases,accounting for 76.7%,and 17 cases were poor compliance,accounting for 56.7%.Hip function evaluation was observed at the last time The mean score was(82.03±2.40).There was statistical significance in the data of each item compared with that of the fracture rehabilitation group.There were many risk factors for lateral hip refracture,including old age,osteoporosis,accompanying medical problems,no timely functional training after surgery,poor compliance,and hip function score at the last observation.Conclusion For elderly patients with hip fracture surgery intervention,medical workers should implement targeted interventions,prevent patients with osteoporosis,design scientific functional training programs,dynamically understand hip functional performance,effectively carry out postoperative guidance,avoid patients with lateral hip refracture after surgery,and ensure the quality of rehabilitation of patients.

Elderly peopleHip fractureLateral hipRefractureRisk factorsRelevant strategies

刘智超、常德海、侯作保、郭二鹏

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联勤保障部队第九四三医院,甘肃 武威 733000

老年人 髋部骨折 侧髋部 再骨折 危险因素 相关策略

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(2)
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