天津医药

天津医药 ›› 2014, Vol. 42 ›› Issue (12): 1246-1248.doi: 10.3969/j.issn.0253-9896.2014.12.027

• 综述 • 上一篇    

应用术后快速康复理念治疗老年髋部骨折

黄海晶,辛景义,金鸿宾   

  1. 天津市天津医院
  • 收稿日期:2013-11-25 修回日期:2014-07-11 出版日期:2014-12-15 发布日期:2014-12-15
  • 通讯作者: 黄海晶 E-mail:huangdxy@hotmail.com

Senile Hip Fracture Treatment by Concept of Enhanced Recovery

HUANG Haijing ,XIN Jingyi ,JIN Hongbin   

  1. Traumatic Department in Tianjin Hospital, Tianjin 300211, China
  • Received:2013-11-25 Revised:2014-07-11 Published:2014-12-15 Online:2014-12-15
  • Contact: HUANG Haijing E-mail:huangdxy@hotmail.com

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摘要：

【摘要】 老年髋部骨折的卧床时间长， 具有较高的合并症发生率及病死率。 应用术后快速康复（ERAS）这一理念， 针对影响患者术中死亡及术后康复的因素， 在术前、术中及术后采取相应的治疗措施， 利于患者的快速康复， 大大降低并发症的发生及病死率。 ERAS 包括术前禁食、预防性镇痛， 术中体温控制、麻醉、手术径路的选择及术后限制静脉补液量、营养支持、无痛下进行早期活动等多个方面， 本文就其理念应用的安全性、可靠性及临床疗效进行综述。

关键词: 髋骨折, 老年人, 综述, 术后快速康复, ERAS

Abstract:

[Abstract] In the elderly, patient who suffered from hip fracture need to stay in bed for a long time and has a higher prevalence of complications and mortality. Considering the factors of patients in the intraoperative death and postoperative re? habilitation, we take appropriate treatment measures during preoperative, intraoperative and postoperative period respective? ly based on the concept of Enhanced Recovery. Patient will benefit from rapid rehabilitation and reduction of incidence of complications and mortality. ERAS includes preoperative fasting, preventive anagelsia, intraoperative temperature control, anesthesia and surgical approach, postoperative intravenous restriction, nutritional support and painless early motion. This ar? ticle intends to review the security , reliability and clinic efficacy of ERAS

Key words: hip fractures, aged, review, enhanced recovery after surgery, ERAS