摘要
目的探讨老年髋部骨折围手术期的治疗策略。方法回顾性分析2004年1月2009年1月手术治疗的96例老年髋部骨折患者的临床资料。结果术前81.25%(78/96)合并内科疾病的患者,均安全度过手术期。术后发生并发症20例,发生率为20.83%。术前有并存疾病者手术治疗优良率为84.61%,术前无并存疾病者手术治疗优良率为94.44%;术前有无并存疾病患者的手术优良率比较,差异有统计学意义(P<0.05)。结论老年髋部骨折患者术前合并疾病较多,应视其个体情况,采取积极恰当的围手术期处理,积极控制和治疗合并疾病,才能降低围手术期并发症的发生率,取得优良的治疗效果。
Objective To investigate the perioperative treatment for hip fracture in elderly patients. Methods Clinical data of 96 elderly patients with hip fracture were analyzed retrospectively from January 2004 to January 2009. Results The percentage of cases with concomitant diseases was 81.25% （78/96）.All patients passed the perioperative period safely.Postoperation complications occurred in 20 cases,with an incidence rate of 20.83% The good and excellent operation rate of patients without concomitant diseases was significant higher than that of patients with concomitant diseases （94.44% vs 84.61%, P0.05）. Conclusion Most elderly patients have different concomitant diseases.By applying proper perioperative management according to the conditions of the patient, through preoperation and postoperative complications of hip fracture in elders, decrease in the incidence of perioperative complications and increase in qualified surgical outcomes can be obtained.
出处
《华西医学》
CAS
2010年第5期874-876,共3页
West China Medical Journal
关键词
老年
髋部骨折
围手术期
Elderly
Hip fracture
Perioperative period
