Objective To investigate the effect of senile f racture on ability of daily life.Method Carry out effective surgery in early time and encourage early out-of-bed activity to prevent secondary aging under th e monitor o...Objective To investigate the effect of senile f racture on ability of daily life.Method Carry out effective surgery in early time and encourage early out-of-bed activity to prevent secondary aging under th e monitor of internal medicine.Result Follow up 208patients for 1-3years(mean 1.8years),13patients(6.25%)were dead,153(73.55%)resumed the ability of independent l ife,32(15.38%)resumed the ability partly,10(4.8%)patients lost ability of life.Conclusion For the aged fracture,the ability of living could be improved by early surgery,reducing complications and active functional training of lowe r limbs under the monitor of internal medicine.展开更多
目的探讨基于快速康复理念的线上线下整体优化干预在伴肌少症老年全髋关节置换术(THA)患者中的应用效果。方法选取2021年4月—2023年4月收治的104例伴肌少症老年THA,根据干预方法不同分为对照组、观察组,各52例。对照组予以常规围手术...目的探讨基于快速康复理念的线上线下整体优化干预在伴肌少症老年全髋关节置换术(THA)患者中的应用效果。方法选取2021年4月—2023年4月收治的104例伴肌少症老年THA,根据干预方法不同分为对照组、观察组,各52例。对照组予以常规围手术期干预,在此基础上,观察组予以基于快速康复理念的线上线下整体优化干预。对比2组住院情况、不良事件发生率、依从性、视觉模拟评分法(VAS)、简易躯体执行能力测试量表(SPPB)、髋关节伤残和骨关节炎问卷(HOOS)、Harris髋关节功能及Barthel指数评分。结果观察组首次下床时间、首次排便时间、住院时间均短于对照组(P<0.01);观察组术后3 d、术后7 d VAS评分均低于对照组(P<0.05);观察组不良事件总发生率3.85%(2/52)低于对照组17.31%(9/52)(P<0.05);观察组总依从度96.15%(50/52)高于对照组78.85%(41/52)(P<0.01);术后1个月、3个月观察组SPPB、HOOS及Harris、Barthel指数评分均较对照组高(P<0.05)。结论基于快速康复理念的线上线下整体优化干预应用于伴肌少症老年THA患者中,可降低患者术后疼痛感,减少不良事件,提升依从性,促进髋关节及躯体功能好转,有助于患者预后恢复。展开更多
文摘Objective To investigate the effect of senile f racture on ability of daily life.Method Carry out effective surgery in early time and encourage early out-of-bed activity to prevent secondary aging under th e monitor of internal medicine.Result Follow up 208patients for 1-3years(mean 1.8years),13patients(6.25%)were dead,153(73.55%)resumed the ability of independent l ife,32(15.38%)resumed the ability partly,10(4.8%)patients lost ability of life.Conclusion For the aged fracture,the ability of living could be improved by early surgery,reducing complications and active functional training of lowe r limbs under the monitor of internal medicine.
文摘目的探讨基于快速康复理念的线上线下整体优化干预在伴肌少症老年全髋关节置换术(THA)患者中的应用效果。方法选取2021年4月—2023年4月收治的104例伴肌少症老年THA,根据干预方法不同分为对照组、观察组,各52例。对照组予以常规围手术期干预,在此基础上,观察组予以基于快速康复理念的线上线下整体优化干预。对比2组住院情况、不良事件发生率、依从性、视觉模拟评分法(VAS)、简易躯体执行能力测试量表(SPPB)、髋关节伤残和骨关节炎问卷(HOOS)、Harris髋关节功能及Barthel指数评分。结果观察组首次下床时间、首次排便时间、住院时间均短于对照组(P<0.01);观察组术后3 d、术后7 d VAS评分均低于对照组(P<0.05);观察组不良事件总发生率3.85%(2/52)低于对照组17.31%(9/52)(P<0.05);观察组总依从度96.15%(50/52)高于对照组78.85%(41/52)(P<0.01);术后1个月、3个月观察组SPPB、HOOS及Harris、Barthel指数评分均较对照组高(P<0.05)。结论基于快速康复理念的线上线下整体优化干预应用于伴肌少症老年THA患者中,可降低患者术后疼痛感,减少不良事件,提升依从性,促进髋关节及躯体功能好转,有助于患者预后恢复。
