髋部骨折术后谵妄的围术期管理

Perioperative Management of Postoperative Delirium after Hip Fracture Surgery

随着外科技术的发展,髋部骨折的手术治疗已非难题,但围术期的管理仍是一项挑战。 术后谵妄是髋部骨折常见并发症之一,发生率在40% -60%,显著增加患者的死亡风险。本文通过回顾相关文献,介绍了谵妄的定义及其发生机制。并针对目前已经建立的假说,从术前、术中、术后等方面对谵妄的管理进行论述,总结了目前可行的治疗措施。提高骨科医生对术后谵妄的风险意识,为围术期管理提供理论依据。

With the development of surgical techniques,the surgical treatment of hip fractures is no longer a prob-lem,but perioperative management is still a challenge.Postoperative delirium is one of the common complications of hip fracture,with an incidence of 40%-60%,significantly increasing the risk of death in patients.By reviewing the relevant literature,this paper first introduces the definition and mechanism of delirium,and discusses the man-agement of delirium from the preoperative,intraoperative,and postoperative aspects according to the currently estab-lished hypothesis,and summarizes the currently feasible therapeutic measures.The purpose is to improve orthopedic surgeons,awareness of the risk of postoperative delirium and provide a theoretical basis for perioperative management.