[1]刘澍雨,朱伟民,刘雨微,等.快速康复外科理念在老年髋部骨折中的术前应用[J].中华老年骨科与康复电子杂志,2021,(01):60-64.[doi:10.3877/cma.j.issn.2096-0263.2021.01.011]
　Liu Shuyu,,et al.Preoperative preparation for enhanced recovery after surgery in elderly hip fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2021,(01):60-64.[doi:10.3877/cma.j.issn.2096-0263.2021.01.011]
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快速康复外科理念在老年髋部骨折中的术前应用()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2021年01期
页码:
60-64
栏目:
综述
出版日期:
2021-02-05

文章信息/Info

Title:
Preoperative preparation for enhanced recovery after surgery in elderly hip fractures
作者:
刘澍雨1; 2; 3; 朱伟民2; 3; 刘雨微2; 3; 傅子财2; 3; 黄勇2; 3; 熊建义1
518000 深圳大学第一附属医院，深圳市第二人民医院创伤骨科1，运动医学科 深圳市运动医学工程技术研究开发中心2
Author(s):
Liu Shuyu1;  2;  3;  Zhu Weimin2;  3;  Liu Yuwei2;  3;  Fu Zicai2;  3;  Huang Yong2;  3;  Xiong Jianyi1
1Department of Orthopaedics, 2Department of Sport Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People’s Hospital, 3Shenzhen Research and Development Engineering Center for Sports Medicine, Shenzhen 518035, ChinaCorresponding author: Xiong Jianyi, Email: jianyixiong@126.com
关键词:
老年人;  髋骨折;  快速康复外科
Keywords:
Aged;  Hip fractures;  Enhanced postsurgical recovery
DOI:
10.3877/cma.j.issn.2096-0263.2021.01.011
文献标志码:
A
摘要:
受到全球进入老龄化社会的影响，高龄人员患髋部骨折风险及死亡风险不断上升。并且年长患者相对年轻患者面对紧急创伤时拥有的生理功能储备更少，包括心排血功能下降、不同程度的肝肾功能受损、机体代谢机能的减弱等。如果不能得到快速康复，会导致很严重的并发症。在围术期，快速康复外科（ERAS）理念推行下，可使患者应激反应显著减弱，可有效抑制并发症，促进满意度提高。术后康复是加速康复理念的关键，但现阶段，临床认为加速康复理念中的术前准备对老年髋关节骨折患者的手术效果、并发症均有明显积极影响。关于加速康复理念中的术前准备的文章也相对较少，因此，本文对加速康复理念中的术前准备在老年髋部骨折的应用内容和特点等进行综述。
Abstract:
With the advent of global aging, the incidence, mortality of hip fractures increase year by year. Older people have fewer reserves of physiological functions than younger people do in the face of trauma, including decreased pumping capacity of the heart, impaired liver and kidney function to varying degrees, decreased drug metabolism et al. If it doesn’t get a quick recovery, it will lead to Serious complications. At present, it is clinically believed that preoperative preparation in the enhanced recovery after surgery of elderly patients with hip fracture has a significant positive effect on the surgical effect and complications. This paper reviews the application and characteristics of preoperative preparation in enhanced recovery after surgery in elderly hip fractures.

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[1]赵晨,商培洋,车凌宾,等.锁定钢板治疗老年肱骨近端骨折合并肩袖撕裂的疗效分析[J].中华老年骨科与康复电子杂志,2015,(01):22.
[2]吴斗,郝海虎,朱剑,等.老年髋部骨折术后谵妄的危险因素分析[J].中华老年骨科与康复电子杂志,2015,(01):34.
[3]高文双,曹建业,吴卫卫,等.墙壁拉力器训练对老年下腰背痛的疗效研究[J].中华老年骨科与康复电子杂志,2015,(01):39.
[4]姬晨妮,陈伟,朱燕宾,等.京津唐地区1 583例老年股骨转子间骨折流行病学特征分析[J].中华老年骨科与康复电子杂志,2015,(01):45.
[5]李石伦,鞠林林,陈伟,等.老年脊柱骨折的流行病学特征分析[J].中华老年骨科与康复电子杂志,2015,(01):50.
[6]杨延江　董天华　杜晨光　杨宗酉　陈伟　吕红芝　刘磊　孙家元　王海立　殷兵　 刘勃 刘松　张英泽.2008 年至2012 年河北医科大学第三医院 老年踝关节损伤的流行病学研究[J].中华老年骨科与康复电子杂志,2015,(02):35.[doi:10.3877/cma.j.issn.2096-0263.2015.02 .007]
　Yang Yanjiang,Dong Tianhua,Du Chenguang,et al.Epidemiological analysis of elderly ankle injury in the Third Hospital of Hebei Medical University from 2008 through 2012[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(01):35.[doi:10.3877/cma.j.issn.2096-0263.2015.02 .007]
[7]李梦远,陈宏　马元琛,廖俊星,等.老年髋部骨折内固定失败后补救性髋关节置换术的临床研究[J].中华老年骨科与康复电子杂志,2016,(02):81.[doi:10.3877/cma.j.issn.2096-0263.2016.02.004]
　Li Mengyuan,Chen Hong,Ma Yuanchen,et al.Clinical research of hip arthroplasty as a salvage treatment after reduction and fixation failure in the proximal femoral fracture[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(01):81.[doi:10.3877/cma.j.issn.2096-0263.2016.02.004]
[8]高延征,张广泉,邢帅,等.经皮椎体成形术与经皮椎体后凸成形术治疗老年 Kümmell 病的对比研究[J].中华老年骨科与康复电子杂志,2016,(03):136.[doi:10.3877/cma.j.issn.2096-0263.2016.03.002]
　Gao Yanzheng,Zhang Guangquan,Xing Shuai,et al.Comparative analysis of percutaneous vertebroplasty and percutaneous kyphoplastyon in the treatment of the elderly with Kümmell disease[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(01):136.[doi:10.3877/cma.j.issn.2096-0263.2016.03.002]
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　Yu Yiyang,Liu Bo,Chen Wei,et al.Epidemiological analysis of geratic fractures in the Third Affiliated Hospital to Hebei Medical University from 2008 to 2012[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(01):172.[doi:10.3877/cma.j.issn.2096-0263.2016.03.009]
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　Lyu Houchen,Tang Peifu..Advancement of mortality prediction of aged hip fracture patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(01):109.[doi:10.3877/cma.j.issn.2096-0263.2016.02.009]
[12]陈述祥,刘彦,区文欢,等.老年髋部骨折术后肺部并发症的危险因素分析[J].中华老年骨科与康复电子杂志,2016,(04):239.[doi:10.3877/cma.j.issn.2096-0263.2016.04.009]
　Chen Shuxiang,Liu Yan,Ou Wenhuan,et al.Risk factor analysis for postoperative pulmonary complications in elderly hip fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(01):239.[doi:10.3877/cma.j.issn.2096-0263.2016.04.009]
[13]刘松 陈伟 朱燕宾 李彦森 殷兵 张飞 李佳 张英泽.2010—2011年中国东北和西北地区老年髋部骨折的流行病学对比[J].中华老年骨科与康复电子杂志,2017,(03):172.[doi:10.3877/cma.j.issn.2096-0263.2017.03.008]
　Liu Song,Chen Wei,Zhu Yanbin,et al.Epidemiological comparison of hip fractures in the elderly between northeast and northwest areas of China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(01):172.[doi:10.3877/cma.j.issn.2096-0263.2017.03.008]
[14]王东,周君琳.老年髋部骨折术后早期负重的时机及其影响因素[J].中华老年骨科与康复电子杂志,2017,(05):257.[doi:10.3877/cma.j.issn.2096-0263.2017.05.001]
　Wang Dong,Zhou Junlin.The timing and influence factors of early postoperative weight-bearing in elderly hip fracture patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(01):257.[doi:10.3877/cma.j.issn.2096-0263.2017.05.001]
[15]卢冰,王跃,刘攀,等.髓内钉及动力髋螺钉治疗老年稳定性股骨转子间骨折的比较[J].中华老年骨科与康复电子杂志,2017,(05):260.[doi:10.3877/cma.j.issn.2096-0263.2017.05.002]
　Lu Bing,Wang Yue,Liu Pan,et al.Comparison of the clinical efficacy between proximal femoral nail and DHS in the treatment of elderly patients with intertrochanteric fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(01):260.[doi:10.3877/cma.j.issn.2096-0263.2017.05.002]
[16]宋婷婷,王新民,毕希乐,等.老年髋部骨折围术期心力衰竭的危险因素分析[J].中华老年骨科与康复电子杂志,2018,(01):23.[doi:10.3877/cma.j.issn.2096-0263.2018.01.006]
　Song Tingting,Wang Xinmin,Bi Xile,et al.Analysis of risk factors of perioperative heart failure in elderly patients with hip fracture[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(01):23.[doi:10.3877/cma.j.issn.2096-0263.2018.01.006]
[17]刘松,李佳,李石伦,等.中国华北和华东地区2010至2011年老年股骨转子间骨折流行病学对比分析[J].中华老年骨科与康复电子杂志,2018,(01):43.[doi:10.3877/cma.j.issn.2096-0263.2018.01.010]
　Liu Song,Li Jia,Li Shilun,et al.Epidemiological comparison of femoral intertrochanteric fractures in the elderly between northern and eastern China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(01):43.[doi:10.3877/cma.j.issn.2096-0263.2018.01.010]
[18]张晟,余斌.个体化围手术期方案在高龄股骨转子间骨折治疗中的应用[J].中华老年骨科与康复电子杂志,2018,(03):132.[doi:10.3877/cma.j.issn.2096-0263.2018.03.002]
　Zhang Sheng,Yu Bin.The clinical experience of the perioperative management of intertrochanteric fracture with elderly highrisk patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(01):132.[doi:10.3877/cma.j.issn.2096-0263.2018.03.002]
[19]张宇 秦晓东 许艺荠 谢文俊 胡军.老年股骨转子间骨折术后1年死亡率及危险因素分析[J].中华老年骨科与康复电子杂志,2018,(05):277.
　Zhang Yu,Qin Xiaodong,Xu Yiqi,et al.Risk factors related to mortality at one year after surgery for intertrochanteric fracture in the elderly[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(01):277.
[20]王虎 李明 靳泽岳 连晓东 陈伟. 不同方法治疗老年股骨转子间合并转子下骨折的比较[J].中华老年骨科与康复电子杂志,2019,(03):135.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.003]
　Wang Hu,Chen Wei.. Comparative of different methods for the treatment of intertrochanteric-subtrochanteric fracture[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(01):135.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.003]

备注/Memo

备注/Memo:
国家自然科学基金面上项目（编号81672234）
更新日期/Last Update: 2021-03-26