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基层医院老年髋部骨折围手术期高危因素控制策略 被引量:1

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摘要 目的控制基层医院老年髋部骨折围术期并发症及死亡的发生率。方法回顾性分析2012年1月至2018年3月本院收治的176例70岁以上老年髋部骨折患者诊治资料,均行手术治疗,观察围手术期患者的并发症及死亡原因。结果 176例患者中,术后并发症率为55.11%(97/176);术后死亡率为2.84%(5/176)。结论老年髋部骨折患者行手术治疗期间存在较大风险,尤其是伴基础疾病者,因此要重点关注和救治。通过加强多科室的协作,甚至参与整个围手术期的治疗,预防认知功能障碍的发生,从而降低围手术期患者的并发症发生率和死亡率,使患者平稳度过围手术期。
作者 李海 罗诚
机构地区 浙江省德清医院
出处 《浙江创伤外科》 2019年第1期103-104,共2页 Zhejiang Journal of Traumatic Surgery
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  • 1Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity in- dex for use with ICD-9-CM administrative databases[J]. J Clin Epi- demiol, 1992,45(6):613 -619.
  • 2Moran CG,Werm RT,Sikand M ,et al. Early mortality after hip frac- ture: is delay before surgery important [J]? J Bone Joint Surg(Am), 2005,87(3):483-489.
  • 3Castronuovo E, Pezzotti P, Franzo A, et al. Early and late mortality in elderly patients after hip fracture: a cohort study using administrative health databases in the Lazio region, Italy[J]. BMC Geriatr,2011,11: 37.
  • 4Haleem S, Lutchman L, Mayahi R, et al. Mortality following hip frac- ture: trends and geographical variations over the last 40 years[J]. In- jury ,2008,39(10):1157-1163.
  • 5Shortt NL, Robinson CM. Mortality after low-energy fractures in pa- tients aged at least 45 years old[J]. J Orthop Trauma,2005,19: 396- 400.
  • 6Bottle A, Aylin P. Mortality associated with delay in operation after hip fracture observational study[J]. BMJ,2006,332: 947-951.
  • 7Endo Y,Aharonoff GB,Zuckerman JD,et al. Gender differences in patients with hip fracture: a greater risk of morbidity and mortality in men[J]. J Orthop Trauma,2005,19(1):29-35.
  • 8Paksima N, Koval KJ,Aharanoff G, et al. Predictors of mortality af- ter hip fracture: a 10-year prospective study [J]. Bull NYU Hosp Jt Dis, 2008,66(2): 111-117.
  • 9Roche JJ,Wenn RT,Sahota O, et al. Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study [J]. BMJ,2005,331: 1374.
  • 10Youm T,Aharonoff G,Zuckerman JD,et al. Effect of previous cere- brovascular accident on outcome after hip fracture [J]. J Orthop Trauma, 2000,14(5):329-334.

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