超高龄患者股骨头置换术后计划性转入ICU临床研究  

Clinical Research of Planned ICU Transfer after Artificial Femoral Head Replacement in the Super Elderly

作　　者：卢法远[1] 沈烨渠[1] 张家毓 周小芳[1] 张秋子[1] 

机构地区：[1]中国人民解放军第188医院重症医学科,潮州521000 [2]广州医科大学卫生职业技术学院,510450

出　　处：《医学研究杂志》2015年第4期139-141,共3页Journal of Medical Research

摘　　要：目的探讨超高龄患者股骨头置换术后计划性转入重症监护室(ICU)对预后的影响。方法回顾性分析54例超高龄股骨头置换术后患者的临床资料,其中术后计划性转入ICU的患者26例为治疗组,术后非计划性转入ICU的患者28例为对照组。转入ICU后均采用心肺功能支持、控制感染、营养支持、预防深静脉血栓形成等综合ICU治疗。比较两组患者的住院时间、总费用、病死率3项指标。结果对照组患者的住院时间、总费用两项指标均大于治疗组(P<0.05)。结论超高龄患者股骨头置换术后计划性转入ICU综合治疗能够缩短住院时间,减少总费用,安全性较好。Objective To explore the influence of planned intensive care unit( ICU) transfer after artificial femoral head replacement in the super elderly on the prognosis.Methods The clinical data of 54 cases over super elderly patients after artificial femoral head replacement were reviewed retrorespectively.A total of 26 cases planned transferred into ICU after operation were divided into treatment group; 28 cases unplanned ICU transfer were divided into control group.The patients who were transferred into ICU were given multimodality treatment such as cardiopulmonary support / infection control / nutritional support and deep vein thrombosis prevention.We compared the three indexes including the time of hospital stay / the total cost of hospitalization and the fatality rate.Results Both the time of hospital stay and the total cost of hospitalization in control group were obviously higher than those of treatment group( P < 0.05).Conclusion The programmed general treatment of intensive care unit( ICU) transfer after artificial femoral head replacement in the super elderly can shorten mean length of hospital stay of patients,reduce the total cost,and the security was better.

关 键 词：超高龄 重症监护室 股骨头置换术 

分 类 号：R687.4[医药卫生—骨科学]