老年髋部骨折患者术后并发脑梗塞防治策略  

The prevention and treatment strategies of cerebral infraction after the hip fracture surgery in elderly patients

作　　者：窦榆生[1] 谢恩[1] 廖永华[1] 康汇[1] 吕向伟[1] 

机构地区：[1]西安市红十字会医院骨科,西安710054

出　　处：《中国骨质疏松杂志》2012年第2期162-165,共4页Chinese Journal of Osteoporosis

基　　金：陕西省卫生厅科学技术基金(HK-308);西安科技局社会发展攻关计划(SF1015(2))

摘　　要：目的探索老年患者髋部骨折术后并发脑梗塞防治策略。方法对38例老年患者髋部骨折术后并发脑梗塞进行临床资料分析,确诊脑梗塞后常规、急性期、后期等系统康复治疗,进行疗效分析。结果术后随访时间6个月～8年,平均5.2年。死亡16例,22例均有不同程度的康复,其中15例生活能自理。结论老年患者髋部骨折术后并发脑梗塞,避免一些医源性因素,术中、术后进行正确预防和治疗,有效地预防和治疗这种并发症。Objective To explore the prevention and treatment strategies of the cerebral infarction after the hip fracture surgery in elderly patients.Methods The clinical data of 38 elderly patients with cerebral infraction after the hip fracture surgery were retrospectively analyzed,including routine treatment,acute stage treatment,and late stage rehabilitation after the diagnosis of cerebral infraction to conduct the efficacy analysis.Results Patients were followed up from 6 months to 8 years with an average of 5.2 years.Sixteen patients died.Twenty-two patients recovered at different degree,including 15 patients with complete ability to take care themselves.Conclusion The cerebral infarction after the hip fracture surgery in elderly patients can be prevented and treated through avoiding the iatrogenic factors and the correct strategies during and post the operation.

关 键 词：髋部骨折术后 脑梗塞 老年患者 并发症 

分 类 号：R45[医药卫生—治疗学]