首都医科大学学报 ›› 2002, Vol. 23 ›› Issue (4): 339-341.

• 临床研究 • 上一篇    下一篇

高龄髋部骨折患者全身状态评估及手术治疗

石永常, 俞强   

  1. 首都医科大学附属北京天坛医院骨科
  • 收稿日期:2001-12-10 修回日期:1900-01-01 出版日期:2002-10-15 发布日期:2002-10-15

Preoperative Evaluation of Hip Fractures in Aged Patients

Shi Yongchang, Yu Qiang   

  1. Department of Orthopaedic Surgery, Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences
  • Received:2001-12-10 Revised:1900-01-01 Online:2002-10-15 Published:2002-10-15

摘要: 为探讨高龄髋部骨折患者术前全身状态的评估方法,对68例75岁以上髋部骨折患者入院时的常规检查结果,从心功能、肺功能、肝功能、肾功能、血压、贫血、血糖、总蛋白、电解质和二氧化碳结合力等9个方面进行全身状态评分,并对手术的可行性、适应证、麻醉及围手术期处理进行讨论.结果:入院时全身状态评分为55~100分,平均76.3分.手术组70~100分,平均82.8分;非手术组55~75分,平均66.5分.85岁以上组与其他年龄组间有显着差异(P<0.01).手术组优良率75.7%.结果提示:入院时常规检查结果评分法对评估高龄患者术前全身状态及估计手术预后有临床价值.

关键词: 高龄患者, 髋部骨折, 全身状态, 评估

Abstract: To discuss the estimate ways of preoperative aged patiens′with hip fracture, from 1988 to 1998, 68 patients over 75 with hip fracture were examired before operation. Their whole state induding the function of heart, lung, liver, kidney and blood pressure, anaemia, blood sugar, whole protein, eletrolyte and CO2CP and discuss the feasibility indication、anaesthesia、perioperative period were evaluated by scores. The grades of patients′whole body states were from 55 to 100, average 76.3. The operation team was from 70 to 100, average 82.8. The nonoperation team was from 55 to 75, average 66.5. The difference was statistically significant between the age team over 85 and other age teams(P<0.01). The effective rate of operation team was 75.7%. The grade of routine examination results have clinical worth for the estimation of whole state of the old patients and prognosis.

Key words: aged patients|hip fracture|whole state|estimation

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