老年髋部骨折患者手术时机及运动锻炼综述  

Timing of surgery and exercise training of hip fracture in the elderly

作　　者：高峰[1] 段鑫[1] 刘佳鑫 张翔[1] GAO Feng;DUAN Xin;LIU Jiaxin;ZHANG Xiang(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：《华西医学》2020年第10期1263-1266,共4页West China Medical Journal

基　　金：国家老年疾病临床医学研究中心科研项目(Z2018A11)。

摘　　要：老年髋部骨折是一种病死率高、并发症发生率高的老年疾病,其治疗以外科手术为主。快速康复外科理念贯穿老年髋部骨折患者围手术期。老年髋部骨折患者入院后应尽快安排手术,以避免影响患者术后功能恢复。术前下床活动及术后早期运动可降低患者术后并发症发生率及病死率,缩短患者住院时间,促进功能恢复。Hip fracture in the elderly is a disease with a high mortality rate and a high complication rate.Its main treatment method is surgery.The concept of enhanced recovery after surgery runs through the perioperative period of elderly patients with hip fracture.Elderly patients with hip fracture should be scheduled for surgery as soon as possible after admission to enhance postoperative functional recovery.Preoperative ambulation and postoperative exercise can reduce postoperative complications and mortality,shorten the length of hospital stay,and promote functional recovery.

关 键 词：髋部骨折 加速康复外科 手术时机 功能锻炼 术前下地活动 

分 类 号：R687.3[医药卫生—骨科学]