ERAS对老年患者髋部骨折术后1年死亡率的影响  

Effet of ERAS on 1-year Mortality After Hip Fracture Surgery in Elderly Patients

作　　者：邱祯宇 朱洲均 王超[1] 田彦虎 张振东[1] 史晨辉[1] 王维山[1] Qiu Zhenyu;Zbu Zhoujun;Wang Chao(Department of Orthopedics,The First Affilited Hospital of Shihezi University School of Medicine,Shihezi,Xinjiang,832000,China)

机构地区：[1]石河子大学医学院第一附属医院骨科中心,新疆石河子832000 [2]新疆医科大学附属第六医院,新疆乌鲁木齐830000

出　　处：《黑龙江医学》2024年第9期1027-1029,共3页Heilongjiang Medical Journal

基　　金：国家自然科学基金项目(82160423)。

摘　　要：目的:探讨加速康复外科(ERAS)对老年髋部骨折术后1年死亡率的影响。方法:回顾性分析2018年1月1日-2020年12月31日石河子大学医学院第一附属医院关节外科收治的437例70岁以上老年髋部骨折(包括股骨颈骨折和股骨转子间骨折)患者的病例。按入院后48h内是否手术分为ERAS组(244例)和非ERAS组(193例)。比较两组患者的年龄、术中出血量、手术时间、住院时间、围手术期死亡人数、出院3个月内死亡人数、出院1年死亡人数和出院后1年肺部感染、下肢深静脉血栓,褥疮的发生人数。结果:两组患者年龄、手术时间、术中输血量比较,差异无统计学意义(t=1.510,0.388,0.150,P>0.05);ERAS组住院时间较非ERAS组少,差异有统计学意义(t=2.294,P<0.05);两组患者的围手术期死亡人数、褥疮发生人数比较,差异无统计学意义(P>0.05);ERAS组出院3个月、出院1年内死亡人数,出院后1年内肺部感染、深静脉血栓人数较非ERAS组少,差异有统计学意义(P<0.05)。结论:ERAS能减少老年髋部骨折患者的住院天数,减少术后肺部感染和深静脉血栓的发生,降低术后1年内老年髋部骨折患者的死亡率。Objective:To explore the effect of ERAS on 1-year mortality after hip fracture surgery in the elderly.Methods:.Retrospective analysis Was conducted on 437 cases of hip fractures including femoral neck factures and intertrochanterie factures of the elderly over 70 yeas old adnmitted in the hospital from January 1,2018 to December 31,2020,ineluding 244 cases in ERAS groupand 193 cases in non ERAS group.Age,intraoperative blod loss,operation time,length odf stay,perioperative mortality,the number of deaths within 3 months after discharge,the mumber of deaths within 1 year after discharge,incidence of pulmonary infection,lower limb deep vein thrombsis,and decubitus within 1 year after dischange of two groups were compared.Results:There was no sigificant difference in age,openation time and intaopenative blood transfusion volume between the two goups(t=1.510,0388,0.150,P>005).The length of hospital stay in ERAS goup was less than that in non-ERAS group,and the difence was satistitally significant(t=2.294;P<0.05).There was no sigificant difference in the number of perioperative death and bedsore ocurrence between the two goups(P>0.05).The mumber of deaths,pulmonary infection and deep vein thrombosis at 3 months,1 year and 1 year after discharge in ERAS group was lower than that in non-ERAS goup,with statistically significant differences(P<0.05).Conclusion:ERAS can reduce lengh odf stay,the ineidence odf postpperative pulmonary indetion,deep vein thrombosis,the mortality within one year after surgery in elderly patients with hip factue.

关 键 词：加速康复外科 髋部骨折 老年患者 死亡率 

分 类 号：R47[医药卫生—护理学]