老年粗隆间髋部骨折患者术前输血需求的影响因素分析

Influencing factors of preoperative blood transfusion requirements in elderly patients with intertrochanteric hip fracture

目的:探究老年粗隆间髋部骨折患者术前输血需求的影响因素。方法:回顾性选取2022年1月-2022年12月的51例患者,分为术前输血组与未输血组,统计两组相关资料并采用Logistic回归分析术前输血需求影响因素。结果:51例患者中术前输血43例,未输血8例;两组其他心脑血管疾病、入院时血红蛋白(Hb)及血清白蛋白(ALB)、抗凝药物使用史比较差异显著(P<0.05);多因素分析结果显示其他心脑血管疾病、入院时Hb为患者术前输血需求的影响因素(P<0.05)。结论:临床应重视合并其他心脑血管疾病以及入院时Hb较低的老年髋部骨折患者,开展针对性有效输血治疗。

Objective:To investigate the influencing factors of preoperative blood transfusion requirements in elderly patients with intertrochanteric hip fracture.Methods:A total of 51 elderly patients with intertrochanteric hip fracture admitted to the hospital from January to December 2022 were selected retrospectivelyand divided into the blood transfusion group and the non-blood transfusion group.Relevant data of the two groups were analyzed andlogistic regression analysis was performed to screen the influencing factors of preoperative blood transfusion requirements.Results:Among the 51 patients,43 patients received blood transfusion and 8 did not before operation.There were significant differences between the two groups in terms of other cardiovascular and cerebrovascular diseases,Hb and ALB at admission,and use history of anticoagulant drugs(P<0.05).Multivariate analysis foundthat other cardiovascular and cerebrovascular diseases and Hb at admission were influencing factors of preoperative blood transfusion requirements(P<0.05).Conclusion:Clinically,attention should be paid to patients with intertrochanteric hip fracturewho have cardiovascular and cerebrovascular diseases and low Hb level at admission so as to help carry out targeted and effective blood transfusion.