老年髋部骨折的手术护理风险评估

目的分析老年髋部骨折相关高危因素，提高手术护理风险评估工作，确保手术成功率及患者生命安全。方法选取160例老年髋部骨折患者，对其进行回顾性调查，记录患者一般情况、既往病史、骨折类型、临床检验结果、手术治疗效果及术后有无并发症等，并进行综合分析与比较。结果160例患者中切口Ⅰ期愈合105例；术后抢救成功5例；并发高血压18例；下肢静脉血栓4例；肺部感染2例；尿路感染5例；心律失常21例，其中房颤13例，频发室性早搏8例。重者转至内科治疗，其余患者采用对症治疗，均痊愈出院。结论对老年髋部骨折患者的手术护理进行风险评估，能够及时找出影响手术的高危因素，对制定手术方案与护理方法有重要意义。

Objective To analyze the related risk factors for hip fracture in elderly surgical care risk assessment,to ensure that the success rate of surgery and patient safety.Method select Check our hospital 160 cases of elderly patients with hip fracture, its retrospective survey, record the general condition of patients, past medical history, type of fracture, clinical test results, surgical treatment and postoperative presence or absence of complications.The Data Statistics finishing comprehensive analysis and compari- son.Results Of the 160 patients,incision stage I healing 105 cases;five cases of postoperative rescue success;18 cases of con- current hypertension;4 cases of deep vein thrombosis;lung infection in 2 cases;five cases of urinary tract infections;arrhythmia 21 cases 13 cases,including atrial fibrillation,frequent ventricular premature.Severe cases,go to the medical treatment,and the remain- ing patients with symptomatic treatment were cured.Conclusion The risk assessment can identify the risk factors affecting surgery,surgical planning and care is of great significance for the care of elderly patients with hip fracture surgery.