老年肋骨骨折患者术后疲劳综合征的相关影响因素分析

Analysis of related influencing factors of postoperative fatigue syndrome in elderly patients with rib fractures

中文关键词: 老年, 肋骨骨折, 术后疲劳综合征, 影响因素, 干预策略

英文关键词: elderly  rib fracture  postoperative fatigue syndrome  influencing factor  intervention strategy

中文摘要:

      目的 分析老年肋骨骨折患者术后疲劳综合征(POFS)的相关影响因素,以期为患者术后康复提供参考.方法 回顾性选择2019年2月-2024年2月淮安市第一人民医院心胸外科接受治疗的160例老年肋骨骨折患者作为研究对象,评估患者术后POFS发生情况,记录患者临床资料,包含性别、年龄、受教育程度、共病情况、吸烟饮酒史、营养状况、肋骨骨折数、术后睡眠障碍、术后抑郁和焦虑、术后疼痛,以及血清白蛋白(ALB)、转铁蛋白(TRF)、总蛋白(TP)水平.对影响患者术后POFS相关因素行单因素和二元Logistic回归分析.结果 纳入的160例患者术后出现POFS为40例,发生率为25.00％(40/160),其中重度疲劳4例、中度疲劳10例、轻度疲劳26例.非POFS组和POFS组患者在性别、受教育程度、吸烟史、饮酒史、肋骨骨折数、血清TP水平方面差异均无统计学意义(P＞0.05),而在年龄、GNRI评分、aCCI评分、术后睡眠障碍、术后抑郁焦虑、术后疼痛评分及血清ALB水平差异均有统计学意义(P＜0.05).二元Logistic回归分析表明,年龄、GNRI评分、aCCI评分、术后睡眠障碍、术后抑郁焦虑、术后疼痛评分为患者术后发生POFS的独立影响因素(P＜0.05).结论 老年肋骨骨折患者术后发生POFS的影响因素较多,且互相交叉,针对年龄、GNRI评分、aCCI评分、术后睡眠障碍、术后抑郁焦虑、术后疼痛等应制定针对性干预策略,降低POFS发生率,以期改善老年患者的预后.

英文摘要:

      Objective To analyze the related influencing factors of postoperative fatigue syndrome(POFS)in elderly patients with rib fracture,and provide reference for postoperative rehabilitation of patients.Methods 160 elderly patients with rib fracture who received treatment in Department of Cardiothoracic Surgery of First People's Hospital of Huai'an City from February 2019 to February 2024 were retrospectively selected as the study subjects.The occurrence of POFS was assessed.Their clinical data were recorded including gender,age,education level,comorbidities,smoking and drinking history,nutri-tional status,number of rib fractures,postoperative sleep disorders,postoperative depression and anxiety,postoperative pain,and levels of serum albumin(ALB),transferrin(TRF),and total protein(TP).Univariate and binary Logistic regression analysis were performed to analyze the related factors affecting POFS.Results Among the 160 patients included in the study,40 ones developed POFS after surgery,with an incidence of 25.00％(40/160),including 4 ones with severe fatigue,10 ones with moderate fatigue and 26 ones with mild fatigue.There was no significant difference in gender,education level,smoking history,drinking history,number of rib fractures and serum TP level between the non-POFS group and the POFS group(P＞0.05),but there were statistically significant differences in age,GNRI score,aCCI score,postoperative sleep disorder,post-operative depression and anxiety,postoperative pain score and serum ALB level between the two groups(P＜0.05).Binary Logistic regression analysis showed that age,GNRI score,aCCI score,postoperative sleep disorders,postoperative depression and anxiety,and postoperative pain score were independent influencing factors for the occurrence of POFS in patients after sur-gery(P＜0.05).Conclusion There are many influencing factors for POFS in elderly patients with rib fractures,and they are interrelated.According to the influencing factors such as age,GNRI score,aCCI score,postoperative sleep disorder,postoper-ative depression and anxiety and postoperative pain,targeted intervention strategies should be developed to reduce the incidence of POFS and improve the prognosis of elderly patients.