[1]房桂彬,肖进,傅光涛,等.老年髋部骨折患者术后1年行走能力的影响因素分析[J].中华老年骨科与康复电子杂志,2024,(05):273-280.[doi:10.3877/cma.j.issn.2096-0263.2024.05.003]
　Fang Guibin,Xiao Jin,Fu Guangtao,et al.Factors affecting walking ability in elderly patients with hip fractures one year after surgery[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2024,(05):273-280.[doi:10.3877/cma.j.issn.2096-0263.2024.05.003]
点击复制

老年髋部骨折患者术后1年行走能力的影响因素分析()
分享到：

中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2024年05期
页码:
273-280
栏目:
髋部骨折
出版日期:
2024-10-05

文章信息/Info

Title:
Factors affecting walking ability in elderly patients with hip fractures one year after surgery
作者:
房桂彬; 肖进; 傅光涛; 郑秋坚
510080 广州，南方医科大学附属广东省人民医院（广东省医学科学院）关节骨病及创伤科
Author(s):
Fang Guibin;  Xiao Jin;  Fu Guangtao;  Zheng Qiujian.
Department of Orthopedics, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China
关键词:
老年髋部骨折;  行走能力;  影响因素;  维生素D
Keywords:
Elderly hip fractures;  Walking ability;  Influencing factors;  Vitamin D
DOI:
10.3877/cma.j.issn.2096-0263.2024.05.003
文献标志码:
A
摘要:
目的 本研究旨在分析老年髋部骨折术后行走能力的独立影响因素。方法 回顾性分析广东省人民医院收治的190例老年髋部骨折患者。收集患者的临床资料包括年龄、性别、病史、手术前状况等。术后1年通过电话追踪调查和统一问卷评估患者的步行能力。采用单因素和Logistics多因素回归分析研究结果。结果 在190例患者中，52例出现躯体功能损害，发生率为27.4%。躯体功能损害组的血清维生素D水平（Z=3.768）、血红蛋白量（Z=2.603）、血钙（Z=2.065）、血清白蛋白水平（Z=2.267）、术前的行走能力评分（Z=2.517）均显著低于独立行走组。年龄（Z=4.082）、血清β-CTX水平（Z=2.471）、血BUN水平（Z=4.666）、炎性指标（Z=3.251）、疾病负担指数（c2=21.926）等因素在两组之间差异有统计学意义（均P＜0.05）。多因素回归分析结果显示，术前血清维生素D水平（OR=0.92）、年龄（OR=1.05）、血BUN水平（OR=1.18）和疾病负担指数（OR=2.80）是老年髋部骨折患者术后行走能力的独立影响因素。结论 本研究结果揭示了术前血清维生素D水平、年龄、血BUN水平和Charlson合并症指数对于老年髋部骨折患者术后行走能力的重要影响。这些结果为临床决策和干预提供了可靠的依据，但进一步的研究仍然是必要的，以确定更多的影响因素并建立更准确的预测模型。
Abstract:
Objective This study aimed to analyze the independent factors influencing walking ability in elderly patients after hip fracture surgery. Methods The study population included 190 elderly patients with hip fractures admitted to Guangdong People’s Hospital, and a retrospective analysis was conducted. Clinical data, including age, gender, medical history, and preoperative conditions, were collected. One year after surgery, patient’s walking ability was assessed through telephone follow-up interviews and standardized questionnaires. Univariate and logistic multivariate regression analyses were utilized to study the results. Results Among the 190 patients, 52 experienced physical functional impairment, with an incidence rate of 27.4%. The serum vitamin D level, hemoglobin level, blood calcium level, serum albumin level, and preoperative walking ability score were significantly lower in the physical functional impairment group compared to the independent walking group. Factors such as age, serum β-CTX level, blood BUN level, inflammatory indices, and disease burden index showed significant differences between the two groups. The multivariate regression analysis revealed that preoperative serum vitamin D level, age, blood BUN level, and disease burden index were independent factors influencing walking ability in elderly patients with hip fractures after surgery. Conclusions This study revealed the important influence of preoperative serum vitamin D level, age, blood BUN level, and Charlson comorbidity index on postoperative walking ability in elderly patients with hip fractures. These findings provide reliable evidence for clinical decision-making and interventions, but further research is still necessary to identify additional influencing factors and establish more accurate predictive models.

备注/Memo

备注/Memo:
基金项目：广东省自然科学基金面上项目（2024A1515012413）
更新日期/Last Update: 2024-10-12