加速康复外科在老年髋部骨折治疗中的应用进展  

The process of the application of enhanced recovery after surgery to the treatment of hip fracture in the elderly

作　　者：郭东昇 虞宵 张向鑫[1] 陈广祥[1] 王东来[1] Guo Dongsheng;Yu Xiao,;Zhang Xiangxin(The Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou Municipal Hospital,Suzhou Jiangsu,215000,China)

机构地区：[1]南京医科大学附属苏州医院,苏州市立医院,江苏苏州215000

出　　处：《生物骨科材料与临床研究》2018年第6期58-62,共5页Orthopaedic Biomechanics Materials and Clinical Study

基　　金：苏州市临床重点病种诊疗技术专项项目(LCZX201608);江苏省高层次卫生人才“六个一工程”拔尖人才项目(LGY2017008)

摘　　要：髋部骨折病人多为骨质疏松较为严重的老年病人。随着老龄化社会的到来以及人口增长加速,髋部骨折病人数量呈现明显上升趋势。老年髋部骨折病人卧床时间长,基础疾病多,具有较高的并发症发生率和死亡率。加速康复外科(Enhanced Recovery After Surgery,ERAS)被证明是有效的围手术期处理措施。通过降低手术创伤的应激反应、减少并发症、降低死亡率,达到加速康复的目的。本文就ERAS在老年髋部骨折病人治疗中的应用进展进行综述。Most hip fracture patients are elderly patients with severe osteoporosis.With the coming of the aging society and the rapidly increased population,the number of hip fracture patients is also rising.The elderly hip fracture patients suffer longer bed lying time,more underlying diseases,higher complications occurrence and higher mortality.Enhanced recovery after surgery(ERAS)has been verified to be an effective measure in peri-operation period.By reducing the stress reaction of operation trauma,reducing complications and decreasing the mortality rate,the patients could achieve the goal of accelerating recovery.This paper discusses the process of application of ERAS to the treatment of hip fracture in the elderly.

关 键 词：老年病人 髋部骨折 加速康复外科 

分 类 号：R683.3[医药卫生—骨科学]