摘要
目的探讨老年人髋部骨折围手术期并发症的预防和处理方法。方法回顾性分析本院骨科手术治疗176例老年人髋部骨折的临床资料。结果本组术前有81.3%(143/176)患者有内科合并疾病,术后并发症共34例,发生率为19.3%。术前有无合并疾病者发生并发症比较差异有统计学意义(P<0.05)。患者全部康复或好转出院,手术治疗总优良率83.5%。结论老年人髋部骨折患者术前合并疾病较多,应根据患者具体病情,采取有效的预防方法和积极的围手术期处理,可有效降低围手术期并发症的发生率,取得良好的治疗效果。
Objective To investigate the prevention and treatment of perioperative complications in elderly patients with hip fracture. Metimds Clinical data of 176 elderly patients with hip fracture were analyzed retrospectively. Resnlts The percentage of cases with concomitant diseases was 81.3% （143/176）. Postopera- tion complications occurred in 34 cases, with an incidence rate of 19. 3%. The complications incidence rate of without concomitant diseases patients was significant higher than that with concomitant diseases patients （P 〈 O. 05 ）. All patients cured or improved, and the good and excellent operation rate accounted for 83.5%. Conclu- sion Most elderly patients have different concomitant diseases. By applying effective prevention and proper perioperative management according to the conditions of the patient, decrease in the incidence of perioperative complications and increase in qualified surgical outcomes can be obtained.
出处
《中国实用医药》
2010年第5期29-31,共3页
China Practical Medicine
关键词
老年人
髋部骨折
围手术期
并发症
预防
治疗
Elderly
Hip fracture
Perioperative period
Complication
Prevention
Treatment
