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- Title
老年骨质疏松症患者髋关节置换术后预后及相关因素分析.
- Authors
朱江龙; 陈跃平; 董盼锋; 陈涛; 容向宾; 章晓云; 冯洋; 卓映宏
- Abstract
Objective To analyze the prognosis and related factors of hip replacement in elderly patients with osteoporosis, and to provide evidence for improving the prognosis of elderly patients with osteoporosis. Methods According to the prognosis, 154 cases of elderly patients with osteoporosis who underwent hip replacement from January 2015 to December 2017 were divided into observation group (poor prognosis) and control group (good prognosis). The related data of the two groups were compared retrospectively, and the factors affecting the prognosis were analyzed using logistic multivariate regression. Results The prognosis was good in 121 cases at 6 months after operation with a good prognosis rate of 78.57%. The proportion of BMI of 27 - 35kg/m2, rehabilitation intervention time (7 d),and postoperative complications in the observation group were significantly higher than those in the control group , postoperative use of oral vitamin D were significantly lower than that in the control group (P<0.05). The bone mineral density and serum levels of PTH and BLAP in the observation group were (-3.04±0.36), (30.65±3.98) μg/mL, and(42.13±5.27)μg/L, respectively. The above values were (-2.73±0.20), (25.76±3.32) μg/mL, and(34.95±4.32)μg/L, respectively, in the control group (P<0.05). Logistic regression analysis showed that high BMI and low bone mineral density were independent risk factors for poor prognosis after hip replacement, and rehabilitation intervention time was a protective factor. Conclusion There are many influencing factors for the prognosis of hip replacement in elderly patients with osteoporosis. The independent risk factors include high BMI and low bone mineral density. Early postoperative rehabilitation training can improve prognosis.
- Publication
Chinese Journal of Osteoporosis, 2019, Vol 25, Issue 8, p1073
- ISSN
1006-7108
- Publication type
Article
- DOI
10.3969/j.issn.1006-7108.2019.08.005