老年全膝关节置换术围手术期并发症影响因素的研究进展  

Research progress of influence factors concerning perioperative complications of total knee arthroplasty in aged patients

作　　者：李玉龙[1] 翁习生[1] 董玉雷[1] Weng Xisheng;Li Yulong;Dong Yulei(Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing 100730, China)

机构地区：[1]中国医学科学院北京协和医院骨科,100730

出　　处：《中华老年骨科与康复电子杂志》2016年第3期177-180,共4页Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)

基　　金：北京市科委基金资助项目(D12110700420000)

摘　　要：近年来,我国接收人工全膝关节置换术的患者逐年增多。虽然接受该术式的人群逐渐年轻化,但仍以中老年患者为主。由于老年患者身体机能退化,自我修复能力逐渐降低,围手术期并发症发生率较高,临床医师和患者因此面临巨大挑战。随着医疗手段的不断发展和进步以及对围手术期并发症的病因、高危因素、预防与治疗等研究的不断深入,临床中做到对老年患者围手术期并发症可防、可控、可治不再是难题。本文从手术方式、麻醉方式、住院时间、快速康复外科的发展等方面就老年患者人工全膝关节置换术围手术期并发症影响因素的进展进行综述。More and more patients received total knee arthroplasty in our country in recent years. Patients who underent the operation were getting younger, but middle-aged and old patients took up large proportion. Perioperative complications frequently occurred in aged patients happen more often due to degenerative body functions, and higher incidence of preoperative complications become a great challenge for orthopedists and patients. With the development of medical science, it is no longer a problem to prevent and control the perioperative complications in aged patients. Now we will discuss the advances of influence factors concerning perioperative complications of TKA in aged patients, which are mainly about the method of surgery and anesthesia, lengh of hospital stay, fast-track surgery and so on.

关 键 词：关节成形术 置换 膝 老年人 并发症 围手术期 

分 类 号：R687.4[医药卫生—骨科学]