2021 年登巴萨 I.G.N.G NGOERA 教授医院 65 岁以上患者股骨髁骨折手术等待时间与功能结果之间的关系

Marco Tandiono, I. G. N. W. Aryana, Putu Feryawan Meregawa, M. Maharjana
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摘要

骨折是一种常见病,尤其是在老年人身上。骨折中最常见的一种是股骨颈骨折。无论是手术前还是手术后,骨折的存在有时会影响身体的功能活动。不同的治疗时间会导致不同的结果,如死亡率和术后身体功能。本研究旨在确定 65 岁以上患者等待股骨粗隆骨折手术的时间与功能结果之间的关系。本研究是一项观察性研究,采用回顾性横断面分析方法。采用的抽样技术是总体抽样,即抽取所有可用样本。研究样本的成员将使用改良哈里斯髋关节评分系统对其身体功能能力进行访谈。获得的访谈结果将进行计算和分类。此外,还将通过秩和检验法对数据进行检验,以确定其显著性。对 19 个有意愿的家庭进行了访谈。共有 12 人接受了手术,等待时间为创伤后 5 天,7 人接受了手术,等待时间大于创伤后 5 天。访谈结果显示,多达 7 人在术后 1 年后死亡。同时,评分结果显示,大部分功能结果属于不良类别。Chi-Square 检验结果显示,手术等待时间对术后效果的影响无显著差异(P<0.05)。股骨粗隆骨折手术等待时间对 65 岁以上患者的功能预后无明显影响。
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RELATIONSHIP BETWEEN SURGERY WAITING TIME FOR COLLUM FEMUR FRACTURE WITH FUNCTIONAL OUTCOME IN PATIENTS OVER 65 YEARS OLD AT PROF. DR. I.G.N.G NGOERAH DENPASAR IN 2021
Fractures are common occurrence, especially in the elderly. One type of fracture with the most cases is neck fracture of the femur. The presence of a fracture can sometimes interfere with the body's functional activities, both before and after surgery. Different treatment times will result in varying outcomes, as in mortality and postoperative body function. This study aims to determine the relationship between waiting time for collum femur fracture surgery with functional outcome in patients who aged over 65 years. This study was an observational study with a retrospective analytic cross-sectional approach. The sampling technique used is total sampling, which by taking all available samples. Members of the research sample will be interviewed about their body's functional abilities using the Modified Harris Hip Score scoring system. The obtained interview results will be calculated and categorized. Furthermore, the data will be tested by Chi-Square Test to determine its significance. Interviews were conducted on 19 willing families. A total of 12 people underwent surgery with waiting time 5 days post-trauma, and 7 people underwent surgery with waiting time >5 days post-trauma. The results of the interviews showed that as many as 7 people died after surgery after 1 year. Meanwhile, the scoring results show that the most functional outcomes are in the bad category. The results of the Chi-Square Test showed that there was no significant difference in waiting time for surgery on post surgery outcome (p<0.05). Waiting time for surgery on collum femur fractures shows no significance on functional outcome in patients over 65 years of age.
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