影响老年髋部骨折手术治疗效果的因素分析

目的　探讨影响老年髋部骨折手术治疗效果的因素。方法　回顾性分析我院 1998年 1月～ 2 0 0 2年 1月 187例确诊为老年髋部骨折患者的临床资料 ,分析各种因素对手术治疗结果的影响。结果　患者年龄、伤前基本生活能力 (ADL)、行走能力、术前健康状况的美国麻醉学会 (ASA)分级、术后并发症等对治疗结果有明显影响 (P <0 .0 5 ) ;而性别、骨折类型、手术时间、手术方法等无明显影响 (P >0 .0 5 )。结论　术前ASA分级可很好预示老年髋部骨折术后死亡率 ,伤前ADL是影响术后功能康复的最主要因素。

Analysis of factors influencing the on outcome of operative treatment after hip fracture in the elderly

Objective To investigate the factors influencing the outcome of operative treatment of hip fracture in the elderly.Methods One hundred eighty seven cases of hip fractures in the elderly were collected for statistical analysis of all clinical data to definite their influence on the results of operative treatment.Results The age of patients, the activities of daily living (ADL) before injury, the preoperative American Society Anesthesiologists (ASA) grade, and the postoperative complications played obvious influence on the outcome of the operative treatment with significant differences between the correlative groups.Conclusion The preoperative ASA grade can well predict the postoperative mortality rate in the elderly with hip fracture, while ADL before injury is a major factor to influence the postoperative functional recovery.