摘要
目的探讨老年髋部骨折的特点,分析其围手术期并发症、合并疾病及治疗措施,以提高手术效果,提高患者生存质量。方法对217例75岁以上老年人髋部骨折围手术期治疗方法及结果进行回顾性总结。结果本组病例术前有63.1%病人有内科合并疾病,患者均顺利度过手术期,术后发生并发症共30例,发生率为13.7%。手术治疗优良率82.7%。结论高龄髋部骨折患者术前合并疾病多,根据病人情况,采取积极恰当的围手术期处理、不同的麻醉手术方法和康复治疗,可降低围手术期并发症的发生率和病死率,取得优良的治疗效果。
Objective To explore the characteristics and perioperative complications, concomitant diseases and management of hip fracture in patients over 75 years old in order to improve the surgical outcome and the survival quality of the patient. Methods The perioperative management and results were summarized retrospectively in 217 cases of hip fracture. Results The percentage of cases with concomitant diseases before operation was 63.1%. All patients passed the perioperative period safely. Postoperative complications occurred in 30 cases, with an incidence rate of 13.7%,and the good and excellent operation rate accounted for 82.7%. Conclusion Most elderly patients have different concomitant diseases. By applying proper perioperative management, proper anesthetic and operative methods, and postoperative rehabilitation measure according to the conditions of the patient, decrease in the incidence of perioperative complications and morbidity and increase in qualified surgical outcomes can be obtained.
出处
《中华老年多器官疾病杂志》
2006年第4期261-264,共4页
Chinese Journal of Multiple Organ Diseases in the Elderly
关键词
老年
髋部骨折
围手术期处理
elderly
hip fracture
perioperative management
