| 入院时血红蛋白水平对老年髋部骨折生存预后的影响 |
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投稿时间：2021-01-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 李少华 |
LI Shao-hua |
永煤集团总医院骨科, 河南 永城 476600 |
Department of Orthopaedics, the General Hospital of Yongmei Group, Yongcheng 476600, Henan, China |
lishaohuahuashao@126.com |
| 张铁山 |
ZHANG Tie-shan |
永煤集团总医院骨科, 河南 永城 476600 |
Department of Orthopaedics, the General Hospital of Yongmei Group, Yongcheng 476600, Henan, China |
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| 邢克炎 |
XING Ke-yan |
永煤集团总医院骨科, 河南 永城 476600 |
Department of Orthopaedics, the General Hospital of Yongmei Group, Yongcheng 476600, Henan, China |
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| 何新庄 |
HE Xin-zhuang |
永煤集团总医院骨科, 河南 永城 476600 |
Department of Orthopaedics, the General Hospital of Yongmei Group, Yongcheng 476600, Henan, China |
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| 刘涛 |
LIU Tao |
河南省人民医院骨科, 河南 郑州 450003 |
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| 期刊信息：《中国骨伤》2022年，第35卷，第1期，第38-42页 |
| DOI：10.12200/j.issn.1003-0034.2022.01.008 |
| 基金项目:河南省医学科技攻关计划省部共建项目（编号：SB201901081） |
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中文摘要:
目的：分析入院时血红蛋白（hemoglobin，Hb）水平和髋部骨折患者生存预后的关系。
方法：2016年2月至2018年10月手术治疗髋部骨折老年患者249例，男62例，女187例；年龄60～91（73.67±10.52）岁；受伤至手术时间（6.79±2.27） d。收集患者入院时的临床、实验室检查结果。观察患者入院时Hb水平和手术后30、90、180、360 d的死亡率。根据患者入院时Hb水平将患者分为Hb<120 g/L和Hb ≥ 120 g/L组。对比分析两组患者手术后30、90、180、360 d的生存状况。应用Logistic回归分析Hb水平对患者手术后30、90、180、360 d死亡的影响。
结果：患者手术后30、90、180、360 d的死亡率分别是5.22%、9.24%、16.87%、20.48%。入院时Hb水平是患者手术后30、90、180、360 d预后死亡的危险影响因素（P<0.05），其OR（95% CI）分别为：2.431（1.475-4.006），2.625（1.468-4.695），2.276（1.320-3.925），2.082（1.221-3.551）。
结论：入院时Hb水平可以影响髋部骨折老年患者生存预后，临床应进一步研究如何在术前管理Hb水平。 |
| 【关键词】血红蛋白 髋骨折 预后 |
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| Influence of hemoglobin level(Hb) on survival and prognosis of elderly hip fracture at admission |
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ABSTRACT
Objective: To analyze the relationship between hemoglobin(Hb) level on admission and survival prognosis of patients with hip fracture.
Methods: From February 2016 to October 2018,249 elderly patients with hip fracture were surgically treated including 62 males and 187 females;the age ranged from 60 to 91(73.67±10.52) years;the time from injury to operation was (6.79±2.27) d. The clinical and laboratory examination results were collected. The Hb level at admission and the mortality at 30,90,180 and 360 days after operation were observed. According to the Hb level at admission,the patients were divided into Hb<120 g/L and Hb ≥ 120 g/L groups. The survival conditions of the two groups at 30,90,180 and 360 days after operation were compared and analyzed. Logistic regression was used to analyze the effect of Hb level on death 30,90,180 and 360 days after operation.
Results: The mortality rates at 30,90,180 and 360 days after operation were 5.22%,9.24%,16.87% and 20.48% respectively. The level of Hb at admission was a risk factor for prognosis and death 30,90,180 and 360 days after operation(P<0.05). The OR(95% CI) were 2.431(1.475-4.006),2.625(1.468-4.695),2.276(1.320-3.925) and 2.082(1.221-3.551) respectively.
Conclusion: The level of Hb at admission can affect the survival and prognosis of elderly patients with hip fracture. We should further study how to manage the level of Hb before operation. |
| KEY WORDS Hemoglobin Hip fractures Prognosis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李少华,张铁山,邢克炎,何新庄,刘涛.入院时血红蛋白水平对老年髋部骨折生存预后的影响[J].中国骨伤,2022,35(1):38~42 |
| 英文格式: | LI Shao-hua,ZHANG Tie-shan,XING Ke-yan,HE Xin-zhuang,LIU Tao.Influence of hemoglobin level(Hb) on survival and prognosis of elderly hip fracture at admission[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(1):38~42 |
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