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股骨万向锁定钢板治疗老年股骨粗隆间骨折围手术期出血量及影响因素分析
Analysize on perioperative blood loss and risk factors in intertrochanteric fractures in aged patients treated with universal femoral locking plate
  
DOI:
中文关键词:  股骨粗隆间骨折  万向锁定钢板  出血量  隐性出血  影响因素
英文关键词:Intertrochanteric fractures  Universal femoral locking plate  Blood loss  Hidden blood loss  Risk factors
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作者单位
江亚  
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中文摘要:
      目的 分析股骨万向锁定钢板治疗老年股骨粗隆间骨折围手术期出血量及影响因素。方法 本文对2015年1月至2017年1月来我院进行股骨粗隆间骨折治疗的老年患者53例进行回顾性分析,采用Gross方程计算公式计算患者的总出血量、显性出血量以及隐性失血量,采用多重线性归分析评估影响隐性失血的危险因素。结果 术中出血量各组间比较差异无统计学意义(P>0.05);隐性出血和总出血量组比较性别、年龄、合并症、EVANS评分、手术时机、手术时间差异具有统计学意义(P<0.05),在多重线性回归中,性别、年龄、合并症、EVANS评分、手术时机、手术时间均为隐性出血的影响因素。结论 股骨万向锁定钢板治疗老年股骨粗隆间骨折围手术期出血量中隐性出血量较大,需要骨科临床医生重视。
英文摘要:
      Objective To analyze blood loss and risk factors in intertrochanteric fractures in aged patients treated with universal femoral locking plate. Methods A retrospective analysis was made on the clinical data of 53 cases of intertrochanteric fractures which were treated by universal femoral locking plate from January 2015 to January 2017,the estimated total blood loss and hidden blood loss and overt blood loss were calculated by Gross and Nadler equations. The multiple linear regression was performed to analyse the risk factors of hidden blood loss. Results There was no significant difference in the amount of intraoperative blood loss between the subgroups, P>0.05, and compared with the subgroups of total blood loss and hidden blood loss, gender, age, complication, EVANS score, operation timing, operation time were statistically significant, P<0.05. Multiple linear regression showed gender, age, complications, EVANS score, operation timing, operation time were hidden blood loss significant risk factors. Conclusion The amount of hidden blood loss was large in intertrochanteric fractures in aged patients treated with universal femoral locking plate, so it is necessary to pay attention for the clinicians in the department of orthopedics.
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