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[1]馬江濤,俞敏,俞高峰,等.快速康復(fù)外科理論在老年股骨轉(zhuǎn)子間骨折治療中的應(yīng)用[J].中醫(yī)正骨,2015,27(01):39-40.
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快速康復(fù)外科理論在老年股骨轉(zhuǎn)子間骨折治療中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年01期
頁碼:
39-40
欄目:
臨床報(bào)道
出版日期:
2015-01-15

文章信息/Info

作者:
馬江濤俞敏俞高峰泮立群竺叢慶張孟超
浙江省新昌縣張氏骨傷醫(yī)院,浙江 新昌 312500
關(guān)鍵詞:
髖骨折 轉(zhuǎn)子間骨折 快速康復(fù)外科理論 圍手術(shù)期醫(yī)護(hù) 老年人
摘要:
目的:探討快速康復(fù)外科理論在老年股骨轉(zhuǎn)子間骨折治療中的應(yīng)用價(jià)值。方法:采用快速康復(fù)外科理論指導(dǎo)59例老年股骨轉(zhuǎn)子間骨折患者的治療,男21例,女38例; 年齡65~92歲,中位數(shù)77歲; 左側(cè)27例,右側(cè)32例。骨折Evans-Jenson分型,Ⅰ型8例、Ⅱ型16例、Ⅲ型25例、Ⅳ型7例、Ⅴ型3例。合并心血管疾病36例、呼吸系統(tǒng)疾病30例、腦血管疾病7例、糖尿病11例。受傷至手術(shù)時(shí)間3~14 d,中位數(shù)6 d。觀察患者疼痛緩解、髖關(guān)節(jié)功能恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:本組59例患者,術(shù)后住院時(shí)間5~15 d,中位數(shù)7 d; 均獲隨訪,隨訪時(shí)間5~20個(gè)月,中位數(shù)15個(gè)月; 骨折均愈合,愈合時(shí)間3~5個(gè)月,中位數(shù)3.5個(gè)月。術(shù)后疼痛緩解、患髖功能改善。參照Harris髖關(guān)節(jié)功能評分標(biāo)準(zhǔn)評價(jià)患髖功能,末次隨訪時(shí)73~90分,中位數(shù)79分。術(shù)后并發(fā)消化系統(tǒng)不良反應(yīng)8例,經(jīng)藥物對癥處理,癥狀緩解; 并發(fā)急性精神障礙7例,經(jīng)心理治療及藥物治療,癥狀緩解; 并發(fā)下肢深靜脈血栓形成1例,經(jīng)溶栓藥物治療,栓塞血管再通; 并發(fā)泌尿、呼吸系統(tǒng)感染各1例,經(jīng)抗生素等藥物治療,感染控制,癥狀緩解。無切口感染、骨折畸形愈合等并發(fā)癥發(fā)生。結(jié)論:采用快速康復(fù)外科理論指導(dǎo)老年股骨轉(zhuǎn)子間骨折的治療,有利于疼痛緩解和患髖功能的改善,并發(fā)癥少,安全可靠。

參考文獻(xiàn)/References:

[1] Kehlet H,Wilmore DW.Multimodal strategies to improve surgical outcome[J].Am J Surg,2002,183(6):630-641.
[2] Kim JW,Kim WS,Cheong JH.Safety and efficacy of fast-track surgery in laroscopic distal gastrectomy for gastric cancer:a randomized clinical trial[J].World Journal of Surgery,2012,36(12):2879-2887.
[3] Cao S,Zhao G,Cui J,et al.Fast-track rehabilitation program and conventional care after esophagectomy:a retrospective controlled cohort study[J].Support Care Cancer,2013,21(3):707-714.
[4] Husted H,Troelsen A,Otte KS,et al.Fast-track surgery for bilateral total knee replacement[J].J Bone joint Surg(Br),2011,93(3):351-356.
[5] Maffezzini M,Campodonico F,Capponi G,et al.Fast-track surgery and technical nuances to reduce complications after radical cystectomy and intestinal urinary diversion with the modified Indiana pouch[J].Surg Oncol,2012,21(3):191-195.
[6] Cascales C PA,Gil M J,Galindo F PJ,et al.Perioperative fast track program in intraoperative hyperthermic intraperitoneal chemotherapy(HIPEC)after cytoreductive surgery in advanced ovarian cancer[J].Eur J Surg Oncol,2011,37(6):543-548.
[7] 宋遠(yuǎn)征,趙建宇,郭亭,等.快速康復(fù)外科在高齡髖部骨折患者圍手術(shù)期的應(yīng)用[J].中國矯形外科雜志,2012,20(14):1253-1256.
[8] 劉恒旸,喬繼紅,王華鋒,等.快速康復(fù)外科理念在全膝關(guān)節(jié)置換圍手術(shù)期管理中的應(yīng)用[J].齊齊哈爾醫(yī)學(xué)院學(xué)報(bào),2011,32(20):3374-3376.
[9] 劉云鵬,劉沂.骨與關(guān)節(jié)損傷和疾病的診斷分類及功能評定標(biāo)準(zhǔn)[M].北京:清華大學(xué)出版社,2002::26-217.
[10] Ljungqvist O,Nygren J,Thorell A.Insulin resistance and elective surgery[J].Surgery,2001,128(5):757-760.
[11] Rodgers A,Walker N,Schug S,et al.Reduction of postoperative mortality and morbidity with epidural or spinal anesthesia results from overview of randomized trials[J].BMJ,2000,321(7275):1493.
[12] Pacero C,Belden J.Evidence-based perianesthesia care:accelerated postoperative recovery programs[J].J Perianesth Nurs,2006,21(3):168-176.
[13] Peters CL,Shirly B.The effect of a new multimodal perioperative anesthetic regimen on postoperative pain,side effects,rehabilitation,and lenth of hospital stay after total joint arthroplasty[J].J Arthroplasty,2006,21(6 Suppl 2):132-138.
[14] Sessler DI.Mild perioperative hypothermia[J].N Engl J Med,1997,336(24):1730-1737.
[15] 楊迪,金建強(qiáng),邵海宇,等.股骨近端防旋髓內(nèi)釘微創(chuàng)治療高齡轉(zhuǎn)子間骨折的圍手術(shù)期策略分析[J].中醫(yī)正骨,2013,25(11):26-30.
[16] 張彬,蔡運(yùn)火,王芝龍,等.股骨轉(zhuǎn)子間骨折的手術(shù)治療進(jìn)展[J].中醫(yī)正骨,2013,25(10):39-42.

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備注/Memo

備注/Memo:
2014-07-17收稿 2014-08-14修回
更新日期/Last Update: 2015-01-30