股骨颈骨折行全髋关节置换术后隐匿性失血危险因素研究
《创伤外科杂志》[ISSN:/CN:]
- 期数:
- 2020年12期
- 页码:
- 932-935
- 栏目:
- 短篇论著
- 出版日期:
- 2020-12-20
文章信息/Info
- Title:
- Risk factors of hidden blood loss after total hip arthroplasty for femoral neck fracture
- 文章编号:
- 1009-4237(2020)12-0932-04
- Author(s):
- JIANG Bo-yi; ZHOU Li-jian; CHENG Xin; GAO Bing-jun
- Department of Orthopaedics,Danyang Hospital,Nantong University,Danyang,Jiangsu 212300,China
- 分类号:
- R 683.42
- DOI:
- 10.3969/j.issn.1009-4237.2020.12.012
- 文献标识码:
- A
- 摘要:
- 目的 探讨股骨颈骨折全髋关节置换术后隐匿性失血(HBL)的危险因素。方法 回顾性分析2017年6月—2019年6月南通大学附属丹阳医院骨科收治的股骨颈骨折150例患者资料,其中男性98例,女性52例; 年龄72～88岁,平均82.8岁。致伤机制:高处坠落伤6例,道路交通伤5例,摔跌伤122例,打架致伤17例。全髋置换术前和术后第3天抽血测量Hb和Hct水平。根据Gross's公式分别计算总失血量(TBL)和HBL。通过多元线性回归进一步分析HBL的危险因素。结果 多元线性回归分析显示美国麻醉师协会(ASA)分级(B=62.169,95%CI=15.616～108.722; P=0.009)、围手术期胃肠道出血/溃疡(B=55.589,95%CI=38.095～273.083; P=0.010)和输血(B=192.118,95%CI=135.578～248.659; P<0.001)是HBL的危险因素。与女性相比,男性患者HBL增高的风险明显增加(B=87.414,95%CI=28.547～146.280; P=0.004),与硬膜外相比,全身麻醉的患者HBL升高的风险明显增加(B=68.920,95%CI=11.707～126.134; P=0.018)。结论 男性、ASA分级较高、围手术期胃肠道出血/溃疡、全身麻醉或接受输血治疗均是股骨颈骨折患者行全髋关节置换术后HBL增高的危险因素。
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备注/Memo
- 备注/Memo:
- 【基金项目】 江苏省卫生计生委2017年度面上科研课题(H201742)
