443例初次单侧人工髋关节置换患者术前并存疾病的临床分析

目的 探讨初次单侧人工髋关节置换术前并存疾病的发生情况与年龄及住院时间的关系.方法 对本组进行的443例初次单侧人工髋关节置换术患者进行回顾,分析患者术前并存疾病发生情况,术前并存疾病数目与年龄及住院时间的关系.结果 443例患者平均年龄64.57岁,平均住院时间21.07 d,无术前并存疾病186例,有术前并存疾病257例,术前并存疾病最多有11种.术前并存疾病较常见的有原发性高血压病（116例,26.2%）,2型糖尿病（43例,9.7%）,冠心病（27例,6.1%）,脑中风后遗症（20例,4.5%）,心律不齐（19例,4.3%）,其他术前并存疾病（32例7.2%）.无术前并存疾病186例（42.0%）,平均年龄61.47岁,平均住院时间18.50 d;有一种术前并存疾病110例（24.8%）,平均年龄62.64岁,平均住院时间20.92天;有两种术前并存疾病76例（17.2%）,平均年龄69.25岁,平均住院时间23.76 d;有两种以上术前并存疾病71例（16.0%）,平均年龄70.66岁,平均住院时间25.15 d.无术前并存疾病、有一种术前并存疾病、有两种术前并存疾病患者年龄依次增加,住院时间依次延长,差异有统计学意义（P〈0.05）;有两种以上术前并存疾病与无术前并存疾病、有一种术前并存疾病患者比较年龄增加,住院时间延长,差异有统计学意义（P〈0.05）;有两种以上术前并存疾病与有两种术前并存疾病患者比较年龄和住院时间无统计学差异（P〉0.05）.结论 初次单侧人工髋关节置换术前常合并原发性高血压病、2型糖尿病、冠心病、脑中风后遗症、心律不齐等疾病.随患者年龄增加,术前并存疾病数目增多,住院时间延长,高龄患者容易出现两种及两种以上术前并存疾病,住院时间显著延长.

Analysis of comorbidities in primary unilateral hip arthroplasty patients: a report of 443 cases

Objective To analysis the comorbidities in primary unilateral hip arthroplasty patients,and to explore the correlation between comorbidity and age as well as the length of stay.Methods443 patients undergoing primary unilateral hip arthroplasty form January,2005 to December,2009 were investigated.The comorbidities of such patients were analized.The correlation of comorbidity and age as well as length of stay was explored.Results The average age was 64.57,and the average length of stay was 21.07 days.186 case...