[高龄老年患者股骨颈骨折术后并发症]
[Postoperative complications after femoral neck fracture in advanced elderly patients].
作者信息
Echigoya Yuichi, Kato Hirokatsu
机构信息
Department of Anesthesia, Shinnittetsu Muroran General Hospital, Muroran, Japan.
出版信息
Masui. 2008 Feb;57(2):163-6.
BACKGROUND
We studied the prevalence of postoperative complications and the predictor for the occurrence of postoperative delirium in patients who had received surgery for femoral neck fracture.
METHODS
A retrospective study, covering the period between January 1, 2005 and March 31, 2006, was carried out 50 in patients of advanced age treated for femoral neck fracture. We investigated main symptoms of postoperative complications. We also compared postoperative delirium group (D group) with no delirium group (ND group).
RESULTS
The following results were obtained. Main postoperative complications were delirium, hypotension and hypoxia. And only one death case was included. In postoperative delirium, there was not a wide difference between the two groups except for hearing loss.
CONCLUSIONS
Our results indicate that it might be possible to prevent postoperative complications by careful perioperative management. Hearing loss preoperatively was a risk factor of postoperative delirium in advanced elderly patients.
背景
我们研究了接受股骨颈骨折手术患者的术后并发症发生率以及术后谵妄发生的预测因素。
方法
对2005年1月1日至2006年3月31日期间接受治疗的50例高龄股骨颈骨折患者进行了一项回顾性研究。我们调查了术后并发症的主要症状。我们还将术后谵妄组（D组）与无谵妄组（ND组）进行了比较。
结果
获得了以下结果。主要术后并发症为谵妄、低血压和低氧血症。仅包括1例死亡病例。在术后谵妄方面，除听力丧失外，两组之间没有很大差异。
结论
我们的结果表明，通过仔细的围手术期管理有可能预防术后并发症。术前听力丧失是高龄老年患者术后谵妄的一个危险因素。
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