老年股骨粗隆间骨折患者手术前后血常规变化分析

Pre-and postoperative blood analysis in aged patients with femoral intertrochanteric fracture

目的评价手术治疗前后老年股骨粗隆间骨折患者血常规指标的变化。方法回顾分析北京老年医院骨科2013年1月至2014年12月收治的老年股骨粗隆间骨折患者的病例资料,利用Epidata建立数据库,SPSS统计软件行统计分析,术前、术后血常规指标的变化情况采用t检验。结果依据纳入标准,20例病例进入数据库。红细胞计数(RBC)、血红蛋白量(HGB)术后第1天、第3天检测结果术后均低于术前,且差异具有统计学有意义(t_(RBC01)=5.153,t_(HGB01)=5.071,t_(RBC03)=2.716,t_(HGB03)=2.872,P<0.05);术后第5天、第7天检测结果与术前相比,差异均无统计学意义。白细胞计数(WBC)术后第3天检测结果低于术前,且二者差异具有统计学意义(tWBC03=3.573,P<0.05);第1天、第5天、第7天分别与术前相比,差异无统计学意义。中性粒细胞百分率术后第1天、第3天、第5天、第7天检测结果分别与术前相比,差异均无统计学意义。血小板(PLT)术后第1天检测结果低于术前,且二者差异有统计学意义(t_(PLT01)=3.55,P<0.05);术后第3天检查结果与术前相比,差异无统计学意义;术后第5天、术后第7天检测结果均高于术前,且差异有统计学意义(t_(PLT05)=-2.718,t_(PLT07)=-3.121,P<0.05)。结论血常规检测对临床老年股骨粗隆间骨折患者的病情监测和指导治疗有重要意义。

Objective To evaluate the indices of routine test in the elderly of femoral intertrochanteric fractwre surgery. Methods A retrospective analysis was carried out in the cases of the aged patients with femoral intertrochanteric fracture from Jan 2013 to Dec 2014. The preoperative and postoperative routine blood indices were compared by t test using SPSS statistical software. Results The routine blood indices of red blood count （RBC） and hemoglobin （HGB） before the surgery were higher than the data on the postoperative 1^st day and the 3^rd day; the difference was significant statistically （tRBC01 = 5. 153, tHGB01 = 5. 071, tRBC03 = 2. 716, tHCB03 = 2. 872, P 〈 0. 05）. There was no statistically significant difference between the data on the postoperative 5＇h day and the 7th day and preoperative ones. The white blood count （WBC） on the postoperative 3^rd day was lower than the preoperative one; the difference was significant statistically （ tWBC03 = 3. 573, P 〈 0. 05 ）. There was no statistically significant difference among the preoperative WBC and the ones on the postoperative 1^st, 5^th, and 7^th day. There was no statistically significant difference in the neutrophile granulocytes percentage between the postoperative and preoperative data. There was statistically significant difference in the blood platelet （PLT） between the preoperative data and the postoperative 1^st, 5^th, and 7^th day （tpLT01 = 3.55, tpLT05 = - 2. 718, tPLT07 = - 3. 121, P 〈 0. 05 ）. Conclusion Routine blood test is important in the elderly patients with femoral intertrochanteric fracture which can provide monitoring and treatment guidance.