卒中偏瘫老年髋部骨折后活动能力恢复相关因素分析

Predictors of Recovery of Ambulatory Status for Hip Fracture of Aged Patients with Poststroke Hemiplegia

目的分析探讨卒中后偏瘫老年髋部骨折患者活动能力恢复的相关影响因素。方法自2000年1月－2007年5月手术治疗的卒中后偏瘫老年髋部骨折患者，至少随访1年，分析患者活动能力恢复的相关影响因素。结果符合纳入标准的有73例，其中活动能力恢复50例，活动能力未恢复23例。经多元logistic回归分析，卒中后偏瘫老年髋部骨折患者活动能力恢复的影响因素为ASA等级、术前合并疾病数和住院时认知情况。结论ASAⅢ或Ⅳ级、较多的术前合并疾病数和住院时差的认知情况是影响活动能力恢复的危险因素。

Objective To investigate predictors of reeovery of ambulatory status for the hip fracture of aged patients with poststroke hemiplegia. Methods From January 2000 to May 2007, consecutive hip fracture patients with poststroke hemiplegia treated by surgery were prospectively followed up for a minimum of one year. The predictors of recovery of ambulatory status in these patients were analyzed. Results Seventy three patients were investigated after exclusion and inclusion criteria. ASA rating, number of preoperative comorbidities and cognitive ability significantly affected recovery of ambulatory status. Conclusion Higher ASA rating, more number of preoperative eomorbidities and poorer eognitive ability are risk predictors of recovery of ambulatory status for the hip fracture of aged patients with poststroke hemiplegia.