帕金森病合并髋部骨折的围手术期治疗进展  

Perioperative treatment progress of Parkinson's disease with hip fracture

作　　者：邢飞[1] 李浪[1] 刘明[1] 段鑫[1] 龙也[1] 项舟[1] XING Fei;LI Lang;LIU Ming;DUAN Xin;LONG Ye;XlANG Zhou(Department of Orthopedics,West China Hospital,Sichuan University,Chengdu Sichuan,610041,P.R.China)

机构地区：[1]四川大学华西医院骨科,成都610041

出　　处：《中国修复重建外科杂志》2018年第8期1032-1037,共6页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：国家自然科学基金资助项目(31370984;81401813;81501879)~~

摘　　要：目的对于帕金森病合并髋部骨折的围手术期治疗研究进展进行综述。方法广泛查阅国内外帕金森病合并髋部骨折治疗的相关文献,从围手术期管理、手术方式的选择以及预后等方面进行总结分析。结果帕金森病患者因姿势不稳、骨质疏松等原因易发生髋部骨折。帕金森病合并髋部骨折患者围手术期的治疗需由骨科、神经内科、麻醉科、康复科等多科医师联合制定个体化康复方案。目前最佳手术治疗方式以及手术入路仍存在一定争议。帕金森病合并髋部骨折的远期预后和帕金森病病情密切相关。结论目前国内外对帕金森病合并髋部骨折的临床研究较少,其术后中远期随访数据不足。对于帕金森病合并髋部骨折的最佳治疗方案仍需进一步探讨。Objective To review the progress of perioperative treatments for patients of Parkinson＇s disease and hip fractures. Methods The related literature of treatments for patients of Parkinson＇s disease and hip fractures were reviewed and analyzed from the aspects such as the perioperative management, selection of operation ways, and prognosis. Results The patients of Parkinson＇s disease are more likely to sustain hip fractures because of postural instability and osteoporosis. The perioperative treatments for patients of Parkinson＇s disease and hip fractures should be determined by orthopedists, neurologist, anesthesiologist, and physical therapist. There is still controversy about the selection of operation and surgical approach. And the prognosis of patients of Parkinson＇s disease and hip fractures are associated with the severity of Parkinson＇s disease. Conclusion There are few clinical studies about the patients of Parkinson＇s disease and hip fractures. The mid-term and long-term functional outcomes of patients of Parkinson＇s disease and hip fractures are unsufficient. And the best treatments of patients of Parkinson＇s disease and hip fractures need to be further explored.

关 键 词：帕金森病 髋部骨折 围手术期 内固定 关节置换 

分 类 号：R687.3[医药卫生—骨科学] R742.5[医药卫生—外科学]