Yamaguchi Satoshi, Kitamura Jiro, Yamamoto Keiko
Division of Anesthesia, Tokatsu Hospital, Nagareyama 270-0174.
Masui. 2013 Aug;62(8):916-23.
We investigated the perioperative courses of 129 elderly patients with hip fracture with different types of surgical repair under spinal anesthesia.
All patients above 80 years of age were divided into the following two groups: bipolar hip prosthesis group (BH group, n = 54) and open reduction and internal fixation group (OR group, n = 75). We examined their perioperative courses retrospectively using medical and anesthetic records.
No significant differences were observed between two groups in pre- and postoperative complications; hemodynamics, oxygenation and amount of bleeding during surgery; perioperative blood transfusion and postoperative 1-month morbidity. Only the final morbidity of OR group was significantly higher than that of BH group (10.7% vs. 0%). However, perioperative course was almost stable in both groups.
Although the elderly patients with hip fracture have several pre- and postoperative complications, it is likely that they can fare well during perioperative period under spinal anesthesia regardless of the type of surgical repair.
我们研究了129例接受脊髓麻醉下不同类型手术修复的老年髋部骨折患者的围手术期过程。
所有80岁以上患者分为以下两组：双极髋关节假体组（BH组，n = 54）和切开复位内固定组（OR组，n = 75）。我们使用医疗和麻醉记录对他们的围手术期过程进行回顾性检查。
两组在术前和术后并发症、手术期间的血流动力学、氧合和出血量、围手术期输血以及术后1个月发病率方面均未观察到显著差异。仅OR组的最终发病率显著高于BH组（10.7%对0%）。然而，两组的围手术期过程几乎都很稳定。
尽管老年髋部骨折患者有多种术前和术后并发症，但无论手术修复类型如何，他们在脊髓麻醉下的围手术期可能情况良好。
