Risk factors of the peri-operative hidden blood loss in artificial femoral head replacement

LIU Yong-quan; LI Yong-xin; ZHANG Yu-jian; LIU Ran

doi:10.11659/jjssx.10E024034

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Risk factors of the peri-operative hidden blood loss in artificial femoral head replacement

Bone and Joint | 更新时间：2025-07-23

- Risk factors of the peri-operative hidden blood loss in artificial femoral head replacement
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 7, Pages: 575-578(2025)
- 作者机构：
  
  秦皇岛市第一医院骨一科，河北秦皇岛 066000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.10E024034
  CLC： R615
- Received：12 October 2024，
  
  Published：25 July 2025
- 稿件说明：
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刘永权,李永新,张玉舰等.人工股骨头置换围术期隐性失血的危险因素分析[J].局解手术学杂志,2025,34(07):575-578.

LIU Yong-quan,LI Yong-xin,ZHANG Yu-jian,et al.Risk factors of the peri-operative hidden blood loss in artificial femoral head replacement[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(07):575-578.
刘永权,李永新,张玉舰等.人工股骨头置换围术期隐性失血的危险因素分析[J].局解手术学杂志,2025,34(07):575-578. DOI： 10.11659/jjssx.10E024034.

LIU Yong-quan,LI Yong-xin,ZHANG Yu-jian,et al.Risk factors of the peri-operative hidden blood loss in artificial femoral head replacement[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(07):575-578. DOI： 10.11659/jjssx.10E024034.

摘要

目的

探讨人工股骨头置换围术期隐性失血的危险因素。

方法

回顾性分析2019年1月至2022年8月在我院行人工股骨头置换术106例患者的临床资料，依据Gross方程计算围术期隐性失血量，统计患者围术期情况，通过单因素分析确定围术期隐性失血的相关因素，将单因素分析中有统计学差异的指标纳入多因素

Logistic

回归分析模型中，筛选出围术期隐性失血的独立危险因素。

结果

术前、术后72 h内平均血红蛋白为（103.44±15.67）g/L、（85.65±14.53）g/L，二者比较差异有统计学意义（

=16.650，

0.05）。围术期平均隐性失血量为（262.43±85.79）mL。94例患者出现贫血，贫血发生率88.68%；29例患者输血，输血率27.36%。单因素分析结果显示，年龄、骨折类型、受伤至手术时间、术前抗凝均是患者围术期隐性失血的相关因素（

0.05）。多因素

Logistic

回归分析显示，年龄≥80岁、股骨粗隆间骨折、受伤至手术时间≥5 d、术前抗凝均是人工股骨头置换围术期隐性失血的独立危险因素（

0.05）。

结论

人工股骨头置换围术期隐性失血受多种因素影响，年龄≥80岁、股骨粗隆间骨折、受伤至手术时间≥5 d、术前抗凝均是其危险因素，对于合并上述症状的患者临床应给予重视，尽早干预，以避免围术期隐性失血，改善患者预后。

Abstract

Objective

To investigate the risk factors of peri-operative hidden blood loss in the artificial femoral head replacement.

Methods

Retrospective analysis was conducted on the clinical data of 106 patients who underwent artificial femoral head replacement in our hospital from January 2019 to August 2022. The peri-operative hidden blood loss was calculated according to Gross equation. The peri-operative condition of the patients was counted. The univariate analysis was used to determine the factors related with peri-operative hidden blood loss. Indicators with statistically significant differences in univariate analysis were included in the multivariate

Logistic

regression analysis model to screen out the independent risk factors for peri-operative hidden blood loss.

Results

The mean hemoglobin levels before surgery and 72 hours after surgery were （103.44±15.67）g/L and （85.65±14.53）g/L respectively， with a statistically significant difference between them （

=16.650，

0.05）.The mean peri-operative hidden blood loss was （262.43±85.79）mL. There were 94 patients with anemia，with an incidence of 88.68%. Twenty-nine patients received blood transfusions，with an transfusion rate of 27.36%. The univariate analysis showed that peri-operative hidden blood loss was related to age，fracture type，time from injury to surgery，preoperative anticoagulation （

0.05）. Multivariate

Logistic

regression analysis revealed that age≥80 years old，intertrochanteric femur fracture， time from injury to surgery≥5 days， and preoperative anticoagulation were independent risk factors for peri-operative hidden blood loss in artificial femoral head replacement （

0.05）.

Conclusion

Peri-operative hidden blood loss in artificial femoral head replacement is affected by a variety of factors， and its risk factors include age≥80 years old，intertrochanteric femur fracture， time from injury to surgery≥5 days， and preoperative anticoagulation. Patients with the above symptoms should be paid clinical attention and intervention should be initiated as early as possible to avoid peri-operative hidden blood loss and improve the prognosis of patients.

关键词

Keywords

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