快速康复外科理念在老年髋部骨折中的术前应用

Preoperative preparation for enhanced recovery after surgery in elderly hip fractures

受到全球进入老龄化社会的影响,高龄人员患髋部骨折风险及死亡风险不断上升。并且年长患者相对年轻患者面对紧急创伤时拥有的生理功能储备更少,包括心排血功能下降、不同程度的肝肾功能受损、机体代谢机能的减弱等。如果不能得到快速康复,会导致很严重的并发症。在围术期,快速康复外科(ERAS)理念推行下,可使患者应激反应显著减弱,可有效抑制并发症,促进满意度提高。术后康复是加速康复理念的关键,但现阶段,临床认为加速康复理念中的术前准备对老年髋关节骨折患者的手术效果、并发症均有明显积极影响。关于加速康复理念中的术前准备的文章也相对较少,因此,本文对加速康复理念中的术前准备在老年髋部骨折的应用内容和特点等进行综述。

With the advent of global aging,the incidence,mortality of hip fractures increase year by year.Older people have fewer reserves of physiological functions than younger people do in the face of trauma,including decreased pumping capacity of the heart,impaired liver and kidney function to varying degrees,decreased drug metabolism et al.If it doesn't get a quick recovery,it will lead to Serious complications.At present,it is clinically believed that preoperative preparation in the enhanced recovery after surgery of elderly patients with hip fracture has a significant positive effect on the surgical effect and complications.This paper reviews the application and characteristics of preoperative preparation in enhanced recovery after surgery in elderly hip fractures.