Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, China.
Department of Orthopaedics, Traditional Chinese Medical Hospital of Gansu Province, Qilihe District Guazhou Street 418, Lanzhou, 730050, Gansu, China.
J Orthop Surg Res. 2023 Oct 4;18(1):750. doi: 10.1186/s13018-023-04235-0.
Osteonecrosis of the femoral head is a degenerative condition linked to corticosteroids, alcoholism, or trauma. With its rising prevalence due to increased hormone drug use and its debilitating effects on young to middle-aged individuals, understanding its association with specific laboratory indicators can aid early diagnosis and prevention.
Upon retrospective analysis of the clinical data pertaining to individuals diagnosed with femoral head necrosis, spanning from January 2016 to January 2022, a comprehensive evaluation was conducted within the same time frame. The study aimed to ascertain the presence of femoral head necrosis in a total of 1176 individuals. A total of 1036 healthy patients were recruited randomly, ensuring that their ages matched. The risk variables associated with the utilization of logistic regression analysis and analysis techniques are employed. The patient examines the age distribution within a specific age group.
The levels of high-density lipoprotein, low-density lipoprotein A1, lipoprotein B1, total protein, albumin, globulin, and other lipophilic metabolism and coagulation markers exhibited a statistically significant increase compared to the control group. A multifactor logistic regression analysis was conducted to identify potential risk factors associated with femoral head necrosis in patients.
Femoral head necrosis is associated with a range of variables including coagulation malfunction, lipid metabolic abnormalities, and inflammation.
股骨头坏死是一种与皮质类固醇、酗酒或创伤有关的退行性疾病。由于激素药物的使用增加以及其对年轻到中年人群的致残影响,其发病率不断上升,因此了解其与特定实验室指标的关联有助于早期诊断和预防。
对 2016 年 1 月至 2022 年 1 月期间诊断为股骨头坏死的患者的临床数据进行回顾性分析,并在同一时间范围内进行综合评估。本研究旨在确定总共 1176 名个体中是否存在股骨头坏死。共随机招募了 1036 名健康患者,以确保他们的年龄匹配。患者检查特定年龄组内的年龄分布。
与对照组相比,高密度脂蛋白、低密度脂蛋白 A1、脂蛋白 B1、总蛋白、白蛋白、球蛋白和其他亲脂代谢及凝血标志物水平显著升高。对可能与股骨头坏死相关的潜在风险因素进行多因素 logistic 回归分析。
股骨头坏死与凝血功能障碍、脂代谢异常和炎症等多种因素有关。