高龄髋部骨折患者全身状态评估及手术治疗  

Preoperative Evaluation of Hip Fractures in Aged Patients

作　　者：石永常[1] 俞强[1] 

机构地区：[1]首都医科大学附属北京天坛医院骨科

出　　处：《首都医科大学学报》2002年第4期339-341,共3页Journal of Capital Medical University

摘　　要：为探讨高龄髋部骨折患者术前全身状态的评估方法 ,对 68例 75岁以上髋部骨折患者入院时的常规检查结果 ,从心功能、肺功能、肝功能、肾功能、血压、贫血、血糖、总蛋白、电解质和二氧化碳结合力等 9个方面进行全身状态评分 ,并对手术的可行性、适应证、麻醉及围手术期处理进行讨论。结果 :入院时全身状态评分为 5 5～ 1 0 0分 ,平均76.3分。手术组 70～ 1 0 0分 ,平均 82 .8分 ;非手术组 5 5～ 75分 ,平均 66.5分。 85岁以上组与其他年龄组间有显著差异 (P <0 .0 1 )。手术组优良率 75 .7%。结果提示To discuss the estimate ways of preoperative aged patiens′ with hip fracture, from 1988 to 1998, 68 patients over 75 with hip fracture were examired before operation. Their whole state induding the function of heart, lung, liver, kidney and blood pressure, anaemia, blood sugar, whole protein, eletrolyte and CO 2CP and discuss the feasibility indication? anaesthesia? perioperative period were evaluated by scores. The grades of patients′ whole body states were from 55 to 100, average 76.3. The operation team was from 70 to 100, average 82.8. The nonoperation team was from 55 to 75, average 66.5. The difference was statistically significant between the age team over 85 and other age teams ( P < 0.01 ). The effective rate of operation team was 75.7%. The grade of routine examination results have clinical worth for the estimation of whole state of the old patients and prognosis.

关 键 词：高龄患者 髋部骨折 全身状态评估 手术治疗 

分 类 号：R683.3[医药卫生—骨科学]