[1]黄秉志,陈楠楠.髋部骨折术后肺炎发生的危险因素分析[J].中华老年骨科与康复电子杂志,2022,(06):338-344.[doi:10.3877/cma.j.issn.2096-0263.2022.06.004]
　Huang Bingzhi,Chen Nannan..Risk factors for pneumonia in patients with hip fractures after surgery[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2022,(06):338-344.[doi:10.3877/cma.j.issn.2096-0263.2022.06.004]
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髋部骨折术后肺炎发生的危险因素分析()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2022年06期
页码:
338-344
栏目:
髋部骨折
出版日期:
2022-12-05

文章信息/Info

Title:
Risk factors for pneumonia in patients with hip fractures after surgery
作者:
黄秉志; 陈楠楠
214062 无锡市第九人民医院手术室
Author(s):
Huang Bingzhi;  Chen Nannan.
Department of operation, Ninth People’s Hospital of Wuxi, Wuxi, 214062, China
关键词:
髋骨折;  围手术期管理;  肺炎;  危险因素
Keywords:
Hip fractures;  Perioperative management;  Postoperative pneumonia;  Risk factors
DOI:
10.3877/cma.j.issn.2096-0263.2022.06.004
文献标志码:
A
摘要:
目的 探索可能影响髋部骨折术后肺炎发生的潜在危险因素。方法 回顾性分析2015年1月至2019年1月间本院收治的髋部骨折患者595例，根据是否合并术后肺炎，分为肺炎组和非肺炎组两组。通过电子病历系统收集患者一般资料，骨折类型、受伤机制、麻醉方式、术后第1天血液指标等资料，首先对部分连续量进行受试者工作特征曲线（ROC）分析，找出最优截断值。然后采用独立样本t检验或c2检验进行组间比较，将具有统计学差异的变量纳入二元logistic回归模型进行分析。结果 老年髋部骨折术后1月内肺炎的发生率约为10.3%（58/565例）。多因素分析显示：年龄＞86岁（OR=2.536，P=0.003），肺病史（OR=4.338，P＜0.001），麻醉方式（全麻）（OR=2.638，P=0.005），重症监护病房（ICU）经历（OR=7.382，P=0.002）。结论 了解肺炎发生的危险因素，对于医护人员预测术后肺炎的发生有一定临床价值，有助于提高对危险人群的筛查，进而加强该类人群的肺部护理，最大可能降低术后肺炎的发生率。
Abstract:
Objective This respective study aimed to detect the risk factors for postoperative pneumonia in patients with hip fractures after surgery. Methods From January 2015 to January 2019, a total of 565 patients with hip fracture in our hospital were revised, and they were divided into two groups: pneumonia group and non-pneumonia group. The demographic and fracture characteristics, surgical data and laboratory test results in first day after surgery were reviewed. The receiver operating characteristic (ROC) analysis, univariate analysis and multivariate analysis were used. Results The incidence of postoperative pneumonia in hip fractures patients were 10.3% (58/565). Binary logistic regression analysis showed that: age>86 years (OR=2.536, P=0.003), general anesthesia) (OR=2.638, P =0.005), lung disease (OR=4.338, P<0.001), and ICU(OR=7.382, P=0.002) were independent risk factors for the postoperative pneumonia in hip fractures patients. Conclusion The discovery of risk factors for the postoperative pneumonia will facilitate to improve the screening of at-risk groups, to take targeted management, and to help reduce the developing of postoperative pneumonia.

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备注/Memo

备注/Memo:
基金项目：无锡市卫生厅课题（Q201750）
更新日期/Last Update: 2023-01-04