血清白蛋白水平对老年髋关节骨折手术病人术后康复的意义

doi:10.3969/j.issn.1003-9198.2024.02.007

摘要/Abstract

摘要： 目的探讨血清白蛋白水平对老年髋关节骨折手术病人术后康复的意义。方法选取2019年12月至2021年12月我院100例老年髋关节骨折病人作为研究对象,检测入院时、术后1 d及1周血清白蛋白水平。术后随访3个月,采用髋关节Harris评分评估病人康复效果,比较不同康复效果病人临床资料、血清白蛋白水平;采用Lasso回归和Logistic回归分析影响病人术后康复效果的因素,并采用ROC曲线评估血清白蛋白预测术后康复效果的效能。结果不同康复效果病人年龄、合并内科疾病、术后延迟负重比例比较,差异有统计学意义(P＜0.05);康复不佳病人术后1周血清白蛋白水平低于康复良好病人(P＜0.05);Lasso回归和Logistic回归分析显示,年龄、合并内科疾病、术后延迟负重及术后1周血清白蛋白水平是病人术后康复效果的影响因素(P＜0.05);相关分析显示,术后1周血清白蛋白水平与髋关节Harris评分呈正相关(P＜0.05);ROC曲线显示,术后1周血清白蛋白水平预测术后康复效果的AUC为0.806,敏感度和特异度分别为80.41%、87.53%。结论血清白蛋白水平与老年髋关节骨折病人术后康复效果密切相关,可为临床预测病人术后康复效果提供参考。

关键词: 髋关节骨折, 康复效果, 血清白蛋白

Abstract: Objective To investigate the value of serum albumin for rehabilitation in the elderly patients after hip fracture operation. Methods A total of 100 elderly patients with hip fracture in our hospital from December 2019 to December 2021 were enrolled in this study. The serum albumin level was detected at admission, 1 day and 1 week after surgery. The rehabilitation effect was evaluated by Harris score of hip function 3 months after surgery. The clinical data and serum albumin levels of the patients with different rehabilitation effects were compared. Lasso regression and Logistic regression were used to analyze the factors affecting the postoperative rehabilitation of the patients, and receiver operating characteristic(ROC) curve was used to evaluate the efficacy in predicting rehabilitation. Results There were significant differences in age, number of comorbidity and proportion of delayed weight bearing between the patients with different rehabilitation effects(P<0.05). The serum albumin level in the patients with poor rehabilitation was lower than that in the patients with good rehabilitation one week after operation(P<0.05). Lasso regression and Logistic regression analysis showed that age, number of comorbidity, proportion of delayed weight bearing and serum albumin level 1 week after surgery were the influencing factors of postoperative rehabilitation(P<0.05). Correlation analysis showed that serum albumin level 1 week after operation was positively correlated with Harris score(P<0.05). ROC curve showed that the area under curve(AUC) of serum albumin level 1 week after surgery predicting rehabilitation effect was 0.806, and the sensitivity and specificity was 80.41% and 87.53%, respectively. Conclusions Serum albumin level is closely related to postoperative rehabilitation effect in the elderly patients with hip fracture, which can provide reference for clinical prediction of postoperative rehabilitation effect.

Key words: hip fracture, rehabilitation effect, serum albumin

中图分类号:

R 683.42

孟德静, 石晓云. 血清白蛋白水平对老年髋关节骨折手术病人术后康复的意义[J]. 实用老年医学, 2024, 38(2): 136-140.

MENG Dejing, SHI Xiaoyun. Value of serum albumin for rehabilitation in elderly patients after hip fracture operation[J]. Practical Geriatrics, 2024, 38(2): 136-140.

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