高龄髋部骨折手术患者术后认知功能障碍的临床分析

Clinical analysis of postoperation cognitive dysfunction in elderly patients with hip fracture surgery

目的对高龄髋部骨折手术患者的术后认知功能障碍（POCD）进行临床分析,探讨老年人手术后出现认知功能障碍的原因及防治措施。方法收集该院收治的出现术后认知功能障碍的高龄髋部骨折手术患者43例,统计相应的临床资料。结果所用患者术后给予吸氧、纠正电解质紊乱,必要时选用氯丙嗪或苯二氮卓类等催眠镇静药物处理,所有患者均于手术后7-34 d恢复出院。结论高龄患者POCD的治疗,应以预防为主导,当发生时应尽快采取措施,减少术后并发症给老年患者及患者家庭造成的痛苦,使老年患者尽早康复,提高生活质量。

[Objective] To analyze postoperation cognitive dysfunction （POCD） in elderly patients with hip fracture surgery and explore causes and prevention measures of cognitive dysfunction after surgery in the elderly. [ Method ] We collected and statistical analyzed clinical data of 43 elderly patients with postoperative cognitive dysfunction after hip fracture surgery. [ Results ] All patients were given oxygen and corrected electrolyte imbalance. Some were treated with sedative hypnotic drugs such as chlorpromazine or benzodiazepine when necessary. All patients were discharged with 7-34 d recovery after surgery. [Conclusion] The treatment of postoperation cognitive dysfunction should be prevention-oriented. When it happens we should take measures as soon as possible to reduce the suffering of postoperative complications in elderly patients and their familiesand to accelerate their rehabilitation and improve their quality of life.