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目的探讨老年髋关节置换术患者肌肉衰减综合征与跌倒风险的相关性,为降低髋关节置换患者的跌倒风险提供科学依据。方法选取2013年3月—2015年3月入住湖北医药学院附属人民医院的208例老年全髋关节置换者为研究对象,髋关节功能评分选用Harris标准;肌肉衰减综合征采用相对骨骼肌质量指数(RSMI)进行鉴定;采用摩尔斯跌倒评估量表(MFS)对跌倒风险进行评估。结果不同年龄段患者的RSMI得分和MFS得分差异有统计学意义,不同髋关节功能等级患者的肌肉衰减综合征发生率差异有统计学意义;跌倒风险与髋关节功能等级及肌肉衰减状况呈显著相关性关系(P<0.05)。结论髋关节置换术患者的肌肉衰减状况与跌倒风险具有显著相关性,应针对患者采取相应措施,减少肌肉衰减综合征的发生,以降低跌倒风险。
Objective To investigate the correlation between the muscle attenuation syndrome and the risk of falling in the elderly patients undergoing total hip arthroplasty and to provide a scientific basis for reducing the risk of falls in patients undergoing total hip arthroplasty. Methods From March 2013 to March 2015, 208 elderly patients with total hip arthroplasty admitted to the People’s Hospital Affiliated to Hubei Medical College were selected as the research object. The Harris criteria were used for the hip function score. The muscle stenosis syndrome was analyzed using the relative skeletal muscle mass index RSMI); MFS was used to assess the risk of falls. Results There were significant differences in RSMI scores and MFS scores among different age groups. There was significant difference in the incidence of muscular attenuation syndrome between patients with different grades of hip joint function. The risk of falls was significantly correlated with hip function grade and muscle attenuation status Sexual relations (P <0.05). Conclusions There is a significant correlation between muscle attenuation status and fall risk in patients undergoing hip arthroplasty. Corresponding measures should be taken for patients to reduce the occurrence of muscular attenuation syndrome so as to reduce the risk of falls.