老年股骨颈骨折患者髋关节置换术后并发谵妄的危险因素分析

doi:10.3969/j.issn.1006-5253.2020.01.009

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Abstract Objective To investigate the incidence of sputum after hip replacement in elderly patients with femoral neck fracture and related risk factors.Methods Totally 146 cases of patients with femoral neck fractures who underwent hip replacement surgery in a hospital in Wenzhou from April 2017 to April 2019 were enrolled in the study. The incidence of postoperative delirium was statistically analyzed. The clinical data of the patients were collected. The risk factors of spasticity after hip replacement in elderly patients with femoral neck fracture were analyzed by logistic multiple regression. Results Of the 146 elderly patients with femoral neck fracture, 39 had sputum after hip arthroplasty, with an incidence of 26.71%. Multivariate logistic regression analysis showed that patients aged≥75 years old (OR=7.683), injury to surgery interval>3 d (OR= 7.831), average nighttime sleep time≤5 h (OR=4.137), general anesthesia (OR=5.023), anesthesia time≥2 h (OR =5.960), intraoperative blood loss≥300 mL (OR=5.458), and postoperative hypoxemia (OR=12.794) were high risk factors for sputum after hip replacement in elderly patients with femoral neck fracture (P<0.05). Conclusion Patients undergoing hip arthroplasty after senile and general anesthesia of the femoral neck fracture are at high risk for sputum. Arranging surgery, increasing sleep time, shortening anesthesia time, reducing intraoperative blood loss, and preventing postoperative hypoxemia as soon as possible after injury can help reduce postoperative delirium.

Key words： elderly patient femoral neck fracture hip replacement sputum risk factor

Received: 18 September 2019

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	Articles by authors
	Ye Yang
	Gan Xihong
	Pan Xuanxuan
	Cai Chengfang.

Cite this article:

Ye Yang,Gan Xihong,Pan Xuanxuan, et al. Analysis of risk factors for convulsions after hip replacement in elderly patients with femoral neck fracture[J]. journal1, 2020, 27(1): 47-50.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2020.01.009 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2020/V27/I1/47

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