股骨近端抗旋髓内钉治疗老年人股骨粗隆间骨折围手术期隐性失血100例

The Proximal Femoral Nail Anti Rotation( PFNA) Treatment of Hidden Hemorrhage with Senile Intertrochanteric Fractures for 100 Case

目的:分析老年股骨粗隆间骨折实施股骨近端抗旋髓内钉(PFNA)治疗过程中围手术期隐性失血的影响因素。方法:选取我院收治的老年股骨粗隆间骨折患者100例,均采用PFNA手术方案,观察骨折恢复情况。回顾患者的一般资料和治疗方法,分析围手术期隐性失血的影响因素。结果:围手术期隐性失血量和髋关节功能恢复具有负相关性。性别、骨质疏松、手术时间、术后输血对隐性失血影响不大(P>0.05);年龄、骨折分型、延迟手术时间、合并基础疾病、接受抗凝治疗是隐性失血量的影响因素(P<0.05)。结论:针对老年股骨粗隆间骨折患者,隐性失血直接关系到术后关节功能恢复情况,临床上影响因素较多,提示医护人员制定有效的防治措施。

Objective ： To analyze the implementation of proximal femoral nail anti rotation of senile femoral intertrochanteric fracture （PFNA） factors influencing the perioperative hidden blood loss during treatment. Methods： Selected our hospital patients with senile intertrochanteric fracture in 100 cases, who were treated by PFNA operation scheme and were observed the recovery of fracture. A review of general data and treatment methods of patients was used to analysis the effect factor of perioperative hidden blood loss. Results： The perioperative hidden blood loss and recovery of hip joint function had negative correlation. Gender, osteoporosis, operation time, postoperative transfusion of hidden blood loss had little effect （P 〉0.05） ; age, fracture type, operative time delay, with basic diseases, receiving anticoagulant therapy was hidden blood loss amount of infLuence factors （P 〈0.05）. Conclusion： The hidden blood loss is directly related to the recovery of joint function after operation for elderly patients with femoral intertrochanteric fracture. There are many influence factors in clinical, it suggests that health care workers need to develop effective prevention and control measures.