股骨近端防旋髓内钉治疗股骨粗隆间骨折隐性失血分析.docVIP

股骨近端防旋髓内钉治疗股骨粗隆间骨折隐性失血分析 　　[摘要] 目的 探讨PFNA治疗股骨粗隆间骨折隐性失血的特点及影响因素。 方法 回顾性研究2011年6月―2014年2月采用PFNA治疗的股骨粗隆间骨折的患者69例进行统计围手术期的隐性失血，对年龄、性别、肥胖及骨折类型进行分析，并分析隐性失血对术后康复的影响。结果 男性组与女性组、肥胖组与非肥胖组间隐性失血均差异无统计学意义（P0.05），高龄组的隐性失血量高于非高龄组（P650 mL组间术后弃拐时间差异有统计学意义（P0.05）。结论 PFNA治疗股骨粗隆间骨折存在较多的隐性失血，性别、肥胖不是隐性失血的危险因素，高龄、骨折类型是隐性失血的危险因素，隐性失血对术后康复有重要影响。 　　[关键词] 股骨粗隆间骨折；股骨近端防旋髓内钉；隐性失血；危险因素 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742（2015）10（a）-0006-03 　　Clinical Analysis of Hidden Blood Loss During Treatment of Intertrochanteric Fracture with Proximal Femoral Nail Antirotation 　　ZHANG Zhong-ping1， ZHAO Jian2， LIU Jun1， ZHANG Hao1 　　1.Department of Orthopedics and Traumatology， Rugao Hospital of Traditional Chinese Medicine， Rugao， Jiangsu Province， 226500 China；2.Department of Orthopedics， Affiliated Hospital of Nantong University， Nantong， Jiangsu Province， 226001 China 　　[Abstract] Objective To explore the characteristics and influencing factors of the hidden blood loss during treatment of the intertrochanteric fracture with proximal femoral nail antirotation（PFNA）. Methods A retrospectively analysis was performed on 69 patients with intertrochanteric fracture treated by PFNA from June 2011 to February 2014 for making clear the hidden blood loss in the perioperative period. The age， gender， obesity and type of fracture were analyzed. The impact of hidden blood loss on postoperative rehabilitation was also analyzed. Results There were no difference in hidden blood loss between male group and female group， obesity group and normal group（P0.05）. There were more hidden blood loss in advanced age group than non-advanced age group （P0.05）.Conclusion There is much hidden blood loss during treatment of the intertrochanteric fracture with PFNA. Gender and obesity are not the risk factors of the hidden blood loss， but advanced age and fracture type are. The hidden blood loss has an important impact on the postoperative rehabilitation of the patients. 　　[Key words] Intertrochanteric fracture； Proxi