老年髋部骨折围手术期并发症及死亡率的分析

【摘要】 目的 探讨65岁及以上老年人髋部骨折的围手术期并发症及死亡率。 方法 回顾性分析2007年1月至2009年4月手术治疗的65～100岁715例老年髋部骨折患者的资料。结果 715例中，股骨颈骨折385例，粗隆间骨折330例。术前582例(81.4%)有并存症，其中心血管系统疾病最常见(442例)。术后229例(32.03%)发生并发症，其中肺部感染（80例）最为高发，本组患者平均住院时间24.10±12.71天。 结论 老年髋部骨折术后早期并发症发生率高，积极的围手术期治疗和精心护理是手术治疗成功的重要条件。广东省中医院骨科许树柴

【关键词】髋部骨折；手术期间；手术后并发症；关节成形术；老年

An epidemiological survey on relative complications and mortality of hip fracture during perioperative period in elderly patient in guangzhou

【Abstract】 0bjective To investigate the complications and mortality of hip fracture in the perioperative period. Methods An retrospective data of the elderly aged 65 years and over who received surgica1 treatment between Jan 2007 and Apr 2009 were reviewed. Results 385 cases were femora1 neck fracture while 330 cases were intertrochanteric fracture．Five hundred and eighty-two cases (81.4%) had preoperative comorbidities in which the circulation system was most often involved．Two hundred and twenty-two cases(32.03%) had postoperative complications，among which the Pulmonary infection was the most involved．The average in-hospita1 time was 24.10±12.71 days． Conclusions The risk of early post-operative complications of hip fractures in patients over 65 years of age is high. Monitering the perioperative medical conditions and carefu1 nursing should be emphasized．

【Keys words】 Hip fracture；Intraoperative period；Perioperative complications；Arthroplasty；Olderly

随着社会人口结构的老年化，髋部骨折中高龄患者所占比重越来越大。髋部骨折手术风险高，易发生多种术后早期并发症。“围手术期”是指以手术治疗为中心,包括术前、术中和术后的一段时间。如何减少老年髋部骨折围手术期的医疗风险，是临床骨科需要解决的问题。因此