老年骨折围手术期缺血性脑卒中的预防研究进展

Research progress in the prevention of perioperative ischemic stroke in the fractured elderly

围手术期缺血性脑卒中是外科患者严重并发症之一,其致残、致死率高,给患者家庭带来沉重经济负担。随着我国人口老龄化的不断进展,老年骨折患者日益增多,围手术期脑卒中发病率也呈现升高趋势,值得临床高度关注。因此,探讨老年骨折患者发生围手术期缺血性脑卒中的相关危险因素,针对性地实施有效的风险干预措施,对于降低脑卒中的发生率,提高生活质量具有积极意义。本文就老年骨折患者围手术期急性缺血性脑卒中临床风险及其干预进行综述,以期为临床提供参考。

Perioperative ischemic stroke is one of the serious complications in surgical patients,which is disabling and lethally fatal,and brings heavy economic burden to patients'families.With the continuous development of aging population in China,there are more and more elderly patients with fracture,and the incidence of perioperative stroke also presents an increasing trend,which is worthy of high clini⁃cal attention.Therefore,it is of positive significance to explore the risk factors related to perioperative ischemic stroke in the fractured elder⁃ly and to implement effective risk intervention measures to reduce the incidence of stroke and improve the quality of life of patients.This pa⁃per reviews the clinical risk and intervention of perioperative acute ischemic stroke in the fractured elderly,in order to provide a reference for clinical practice.