[1]鲁攀攀,马彬彬,李荥娟,等.老年髋部骨折患者术前营养不良的危险因素分析[J].中华老年骨科与康复电子杂志,2018,(03):145-150.[doi:10.3877/cma.j.issn.2096-0263.2018.03.005]
　Lu Panpan,Ma Binbin,Li Yingjuan,et al.Risk factors analysis for preoperative malnutrition of elderly hip fracture patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(03):145-150.[doi:10.3877/cma.j.issn.2096-0263.2018.03.005]
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老年髋部骨折患者术前营养不良的危险因素分析()
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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:
2018年03期
页码:
145-150
栏目:
髋关节
出版日期:
2018-05-23

文章信息/Info

Title:
Risk factors analysis for preoperative malnutrition of elderly hip fracture patients
作者:
鲁攀攀; 马彬彬; 李荥娟; 邹继红; 任利群; 王宸; 陈辉; 芮云峰
210009 南京，东南大学附属中大医院骨科1，老年髋部骨折多学科综合诊疗协作组2，创伤救治中心3；210009 南京，东南大学创伤骨科研究所4；210009 南京，东南大学医学院5；210009 南京，东南大学附属中大医院老年科6
Author(s):
Lu Panpan;  Ma Binbin;  Li Yingjuan;  Zou Jihong;  Ren Liqun;  Wang Chen;  Chen Hui;  Rui Yunfeng
1Department of Orthopaedics, 2Comprehensive Multidisciplinary Team (MDT) for Geriatric Hip Fracture Management, 3Trauma Center, Zhongda Hospital, School of Medicine, Southeast University, Nanjing 210009, China; 4Orthopaedic Trauma Institute of Southeast University, Nanjing 210009, China; 5School of Medicine, Southeast University, Nanjing 210009, China; 6Department of Geriatrics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing 210009, China
关键词:
髋骨折;  营养不良;  老年人;  危险因素
Keywords:
Hip fractures;  Malnutrition;  Aged;  Risk factors
DOI:
10.3877/cma.j.issn.2096-0263.2018.03.005
文献标志码:
A
摘要:
目的 分析老年髋部骨折患者术前营养不良的危险因素。方法 回顾性分析2011年1月至2015年12月间东南大学附属中大医院收治的798例年龄≥65岁髋部骨折患者的临床资料，采用多因素Logistic回归分析老年髋部骨折患者术前营养不良的危险因素。结果 老年髋部骨折患者术前营养状况较差，营养不良患者约占34.80～78.43%。老年股骨转子间骨折患者营养状况比股骨颈骨折患者更差，血红蛋白[（108±18）g/L，（123±16）g/L，t=11.617，P＜0.001]、白蛋白[（34±6）g/L，（36±5）g/L，t=5.133，P＜0.001]两指标差异均有统计学意义。高龄老年患者术前营养状况比普通老年患者更差，血红蛋白[（112±18）g/L，（121±18）g/L，t=6.772，P＜0.001]、总淋巴细胞计数[（1.1±0.7）cells/ml，（1.3±0.6)cells/ml，t=3.247，P=0.001]和白蛋白[（34±5）g/L，（36±6）g/L，t=4.577，P＜0.001]差异均有统计学意义。多因素Logistic回归分析示年龄 （OR：0.567， 95% CI：0.419～0.768，P＜0.001）和脑梗塞（OR：0.699，95% CI：0.500～0.980，P=0.037）是老年髋部骨折患者术前营养不良的主要危险因素。结论 老年髋部骨折术前营养状况较差，特别是股骨转子间骨折患者和高龄老年患者，年龄和脑梗塞是老年髋部骨折患者术前营养不良的主要危险因素。
Abstract:
Objective To evaluate the risk factors of preoperative malnutrition in the elderly hip fracture patients. Methods From January 2011 to December 2015, 798 elderly patients (≥65 years) admitted in Zhongda Hospital were included in a retrospective analysis. Multivariate Logistic regression analysis was applied to evaluate the risk factors of preoperative malnutrition in the elderly hip fracture patients. Results The elderly hip fracture patients had poor nutritional status before operation, with malnutrition accounting for about 34.80-78.43%. The nutritional status of the patients with intertrochanteric fracture were worse than those with femoral neck fracture, with the significant differences of the hemoglobin [(108±18)g/L, (123±16) g/L, t=11.617, P<0.001] and albumin [(34±6)g/L, (36±5)g/L, t=5.133, P<0.001] levels between theses fracture types. The advanced aged patients had worse nutritional status than general old patients. The levels of hemoglobin [(112±18)g/L, (121±18)g/L, t=6.772, P<0.001], total lymphocyte count [(1.1±0.7)cells/ml, (1.3±0.6) cells/ml, t=3.247, P=0.001] and albumin [(34±5)g/L, (36±6)g/L, t=4.577, P<0.001] in the general old patients were lower than those in the advanced aged patients with statistical significance. The multivariate Logistic regression analysis showed that age (OR: 0.567, 95% CI: 0.419-0.768, P<0.001) and cerebral infarction (OR: 0.699, 95% CI: 0.500-0.980, P=0.037) were the major risk factors of preoperative malnutrition. Conclusions The elderly hip fracture patients had poor nutritional status before operation, especially the intertrochanteric fracture patients and the aged patients. Age and cerebral infarction were the major risk factors of preoperative malnutrition in the elderly hip fracture patients.

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备注/Memo

备注/Memo:
基金项目：江苏省“六大人才高峰”D类资助项目（2013-WSW-054）；江苏省科教强卫医学重点人才项目（ZDRCA2016083）；南京市科学与技术委员会软科学研究计划项目（2016ZD014）
更新日期/Last Update: 2018-05-22