摘要
[目的]探讨快速康复在高龄髋部骨折患者围手术期的应用及其效果。[方法]选取75例80岁以上髋部骨折病人,对围手术期的处理方式进行优化,评价术后功能恢复情况。[结果]患者手术均顺利完成,安全度过围手术期,患者平均住院时间12 d。术后随访18～30个月,平均24个月,术后Harris评分:优(90～100分)41例(54.7%);良(80～89分)25例(33.3%);可(70～79分)6例(6.0%);差(低于70分)3例(4.0%)。优良率88.0%。[结论]在围手术期使用快速康复理念,可有效的减轻老年人应激水平,改善生理功能,早期进行功能锻炼,使患者获得快速康复。
[ Objective]To discusses the application and the effects of the rapid rehabilitation in elderly patients with hip fracture during perioperation period. [ Method] Seventy-five patients over 80 years old with hip fracture were chosen, the treatments were optimized during the perioperative period. The Harris score was evaluated. [ Result ] All the operations were done successfully. The average hospitalization was 12 days. All patients were followed up for an average of 24 months（ range, 18 to 30 months）. According to the Harris score, excellent result was achieved in 41, good in 25, fair in 6 and poor in 3 patients. The excellent and good results were 88%. [ Conclusion] The use of fast-track concept during the peri-operative period, can reduce stress level effectively, improve the physiological function, and practice functional exercises early. The patients can achieve rapid rehabilitation.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2012年第14期1253-1256,共4页
Orthopedic Journal of China
基金
全军医学科学技术研究"十一五"计划课题项目(编号:06G043)
关键词
快速康复
高龄
髋部骨折
围手术期
fast track, aged patients, hip fracture, perioperative period
