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中华关节外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (06) : 753 -756. doi: 10.3877/cma.j.issn.1674-134X.2018.06.002

所属专题： 文献；

临床论著

老年股骨颈骨折患者行全髋关节置换术后体重的变化
徐宁1,†(), 张玉岩1, 赵怡2, 黑静友1, 刘士明1   
  1. 1. 252600　聊城市第二人民医院关节外科
    2. 252600　聊城市第二人民医院南病区综合外科
  • 收稿日期:2018-11-12 出版日期:2018-12-01
  • 通信作者: 徐宁

Weight changes after total hip arthroplasty in elderly patients with femoral neck fracture

Ning Xu1,†(), Yuyan Zhang1, Yi Zhao2, Jingyou Hei1, Shiming Liu1   

  1. 1. Department of Orthopaedics, Second People’s Hospital of Liaocheng, Liaocheng 252600, China
    2. the Department of Comprehensive Surgery, Second People’s Hospital of Liaocheng, Liaocheng 252600, China
  • Received:2018-11-12 Published:2018-12-01
  • Corresponding author: Ning Xu
  • About author:
    Corresponding author: Xu Ning, Email:
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引用本文：

徐宁, 张玉岩, 赵怡, 黑静友, 刘士明. 老年股骨颈骨折患者行全髋关节置换术后体重的变化[J/OL]. 中华关节外科杂志(电子版), 2018, 12(06): 753-756.

Ning Xu, Yuyan Zhang, Yi Zhao, Jingyou Hei, Shiming Liu. Weight changes after total hip arthroplasty in elderly patients with femoral neck fracture[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2018, 12(06): 753-756.

目的

了解老年股骨颈骨折患者行全髋关节置换术(THA)术后体重的变化。

方法

回顾性分析2013年1月至2016年6月在聊城市第二人民医院关节外科接受单侧初次THA的股骨颈骨折患者。以BMI为分组依据，18.5 kg/m2≤BMI<24.0 kg/m2为体重正常组，24.0 kg/m2≤BMI<28.0 kg/m2为超重组，BMI≥28.0 kg/m2为肥胖组。采用Kaplan-Meier法分析比较THA后人体质量指数(BMI)减少超过5%的时间间隔。

结果

共有78例患者纳入本研究，体重正常组28例患者、超重组46例患者、肥胖组4例患者，3组患者之间的年龄、性别构成差异无统计学意义，P>0.05。3组患者在THA术后人体质量指数减少超过5%的中位时间分别为52个月(43, 69)个月、48个月(40，67)个月、47个月(41，60)个月，行log-rank检验，差异没有统计学意义(χ2＝4.72，P>0.05)。

结论

体重正常组、超重组、肥胖组患者在THA术后BMI减少超过5%的中位时间基本一致。

关键词: 关节成形术，置换，髋, 人体质量指数, 体重变化, 老年人
Objective

To investigate the changes of body weight after total hip arthroplasty (THA) in elderly patients with femoral neck fracture.

Methods

The patients received a unilateral primary THA with femoral neck fracture from January 2013 to June 2016 in the department of orthopaedics, the Second People’s Hospital of Liaocheng, were analyzed. Patients were divided into 3 groups according to BMI, 18.5 kg/m2≤BMI<24.0 kg/m2 for normal weight group, 24.0 kg/m2≤BMI<28.0 kg/m2 for overweight group, and BMI≥28.0 kg/m2 for obesity group. The Kaplan-Meier method was used to analyze the time interval in which the body mass index (BMI) decreased by more than 5% after THA.

Results

A total of 78 patients were enrolled in the study. There were 28 patients in the normal weight group, 46 patients in the overweight group, and 4 patients in the obese group. There was no significant difference in age and gender between the three groups (P>0.05). The median survival time to decrease the body mass index by more than 5% after THA in the three groups was 52 months(43, 69)months , 48 months(40, 67)months , 47 months(41, 60)months respectively. A log-rank test was performed (χ2 =4.72, P>0.05), indicating that the difference was not statistically significant.

Conclusion

In the normal weight group, the overweight group and the obese group, the median survival time of BMI reduction of more than 5% after THA was basically the same.

Key words: Arthroplasty, replacement, hip, Body mass index, Body weight changes, Aged
表1 3组患者的一般情况
组别 例数 性别(男/女) 年龄[岁，(±s)]
正常体重组 28 16/12 71±6
超重组 46 17/29 72±4
肥胖组 4 1/3 67±5
统计值 ? χ2 ＝2.981 F＝2.623
P值 ? >0.05 >0.05
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