老年髋部骨折患者围术期特点及术后早期康复的疗效
刘四海;王飞;韩新祚;崔志刚;王安庆;刘克敏
【期刊名称】《中华老年医学杂志》 【年(卷),期】2024(037)012
【摘要】目的 探讨老年髋部骨折患者围术期特点及早期康复疗效. 方法 回顾性分析2012年1月至2014年1月收治的123例老年髋部骨折患者资料,根据是否接受康复治疗将患者分为康复组和对照组,比较两组患者的术后病死率及术后并发症发生率等. 结果 123例患者中男51例、女72例,年龄67~96岁,平均(83.5 ± 4.8)岁;股骨颈骨折32例,股骨转子间骨折91例;术前有91.1% (112/123)患者有内科合并疾病,术后康复组并发症发生率为8.3% (5/60) ,术后1年病死率6.7% (4/60) ;对照组并发症发生率为22.2% (14/63) ,术后1年病死率20.6% (13/63) ,两组术后并发症发生率及1年病死率的差异均有统计学意义(χ2=4.539 、5.034 ,P=0.033 、0.025 ) . 结论老年髋部骨折患者术前合并疾病多,采取恰当的围术期处理、麻醉手术方法及早期康复治疗,可降低围术期并发症的发生率及病死率,取得良好的预后.%Objective To investigate the perioperative characteristics of hip fractures and the effects of early rehabilitation in elderly patients. Methods Clinical data of 123 elderly patients admitted to our department from January 2012 to January 2014 were retrospectively analyzed. Patients were divided into a rehabilitation group and a control group ,based on whether rehabilitation therapy was offered.Comparison was made between the two groups on postoperative mortality and postoperative complications.
Results Of 123 patients ,there were 51 males and 72 females ,with a mean age of (83.5 ± 4.8)years(aged 67~96 years).Femoral fractures were seen in 32 patients and femoral intertrochanteric fractures in 91 patients.Before operation ,112 (91.1% ) patients had concomitant diseases.
There were
significant differences
in
postoperative
complications and one-year mortality after operation between patients receiving early rehabilitation and controls (5/60 or 8.3% vs.14/63 or 22.2% ,4/60 or 6.7% vs.13/63 or 20.6% ,χ2=4.539 and 5.034 ,P=0.033 and 0.025 , respectively ). Conclusions Elderly hip fracture patients have many concomitant diseases before operation.With appropriate perioperative management ,well-chosen methods of anesthesia and surgery ,and early postoperative rehabilitation measures ,the incidence of perioperative complications and one-year mortality can be decreased ,and desirable surgical outcomes can be attained. 【总页数】3页(1337-1339) 【关键词】髋骨折;康复;手术期间
【作者】刘四海;王飞;韩新祚;崔志刚;王安庆;刘克敏
【作者单位】100068北京,首都医科大学骨外科学系中国康复研究中心北京博爱医院骨科;100068北京,首都医科大学骨外科学系中国康复研究中心北京博爱医院骨科;100068北京,首都医科大学骨外科学系中国康复研究中心北京博爱医院骨科;100068北京,首都医科大学骨外科学系中国康复研究中心北京博爱医院骨科;100068北京,首都医科大学骨外科学系中国康复研究中心北京博爱医院骨
科;100068北京,首都医科大学骨外科学系中国康复研究中心北京博爱医院骨科 【正文语种】中文 【中图分类】 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-journal-geriatrics_thesis/0201270466097.html 【相关文献】
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老年髋部骨折患者围术期特点及术后早期康复的疗效
