1.Department of the emergency trauma surgery in the First People'2.'3.s Hospital of Shangqiu City
【摘要】 目的 描述老龄股骨粗隆间骨折患者行股骨头置换术后生存情况，探讨其死亡的危险因素。方法 本研究回顾性收集2015年1月-2019年10月在某医院骨科行股骨头置换术的符合上述纳入排除标准的老龄患者131例为研究对象，其中男性患者42例，女性89例，收集纳入研究患者的一般资料和临床诊疗信息，通过随访获得患者的生存结局；利用Cox 比例风险回归模型筛查危险因素。结果 纳入研究的患者术后 1年生存率为0.939，2年生存率为0.832。Cox比例风险回归结果显示年龄增加、合并症数量≥2种是危险因素，而BMI正常是保护因素。结论 老龄股骨粗隆间骨折患者行股骨头置换术后死亡风险较高，尤其对于高龄和合并症数量较多等患者，应重点关注，加强围术期风险优化管理，以降低死亡风险，提高生存率。
Objective To describe the survival of elderly patients with intertrochanteric fracture of femur after femoral head replacement, and to explore the risk factors of death. Methods This study retrospectively collected in January 2015 - October 2019 in a hospital orthopedic line of the femoral head replacement conforms, 131 cases of elderly patients were included, collecting information included in the study of general data and clinical diagnosis and treatment, through the follow-up of the patients' survival outcome. Cox proportional risk regression model was used to screen risk factors. Results The 1-year survival rate was 0.939 and the 2-year survival rate was 0.832. Cox regression showed that increasing age and 2 comorbidities were risk factors, while normal BMI was protective factor. Conclusion Elderly patients with intertrochanteric fracture of femur have a higher risk of death after femoral head replacement, especially for the elderly patients with a large number of complications, attention should be paid to strengthen perioperative risk optimization management.