老年人髋部骨折术后认知障碍临床分析

Clinical analysis of cognitive dysfunction after operations on hip fracture in elder patients

目的研究高龄患者术后认知功能障碍的临床特点及治疗方法。方法回顾性分析笔者所在医院2004年6月至2009年6月12例高龄患者髋部骨折术后出现认知障碍的原因,临床表现及其治疗方法。所有病例术后随访3～12个月。结果所有患者住院期间无死亡,经对症处理及上述治疗后,10例患者术后1周内好转,1例术后2周内好转,1例术后随访半年仍有认知功能障碍,但较住院期间明显好转。结论老年患者髋部骨折术后认知功能障碍发病率高,危害大,应早期诊治,加强围手术期处理,纠正各种生理紊乱,加强护理,提高老年患者的生活质量。

Objective To investigate the clinical character and relevant therapeutic method of postoperation cognitive dysfunction in elder patients suffering hip fracture. Methods Retrospectively analyzed the etiology, clinical manifestation and relevant therapeutic method of 12 elder patients with hip fracture who suffered from POCD after operations in our department from June of 2005 to June of 2009. These patients were followed up for 3 - 12 months after operation. Results No patients died during treatment in our hospital. After respective symptomatic treatment, 10 cases＇ symptom improved in 7 days after operation, 1 case improved in 2 weeks and I ease still had some residual symptoms 6 months after operation which improved greatly comparing with those occurred in hospital. Conclusion POCD after hip fracture operations is a type of high incidence, harmfully mental diseases which should be treated with timely diagnosis and therapy, strengthening peri - operative administration and rectifying various physiological derangement, along with careful nursing so as to improve the quality of the elder patients＇ life.