Xie Tian, Ma Binbin, Li Yingjuan, Zou Jihong, Qiu Xiaodong, Chen Hui, Wang Chen, Rui Yunfeng
Department of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Institute of Traumatic Orthopaedics, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Multidisciplinary Team (MDT) for Geriatric Hip Fracture Management, Zhongda Hospital, Southeast University, Nanjing Jiangsu, 210009, P.R.China.
Multidisciplinary Team (MDT) for Geriatric Hip Fracture Management, Zhongda Hospital, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Department of Geriatrics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Aug 15;32(8):1038-1046. doi: 10.7507/1002-1892.201712083.
To summarize the latest developments in the enhanced recovery after surgery (ERAS) in the geriatric hip fractures and its perioperative therapy management.
The recent original literature on the ERAS in the geriatric hip fractures were extensively reviewed, illustrating the concepts and properties of the ERAS in the geriatric hip fractures.
It has been considered to be associated with the decreased postoperative morbidity, reduced hospital length of stay, and cost savings to implement ERAS protocols, including multimodal analgesia, inflammation control, intravenous fluid therapy, early mobilization, psychological counseling, and so on, in the perioperative (emergency, preoperative, intraoperative, postoperative) management of the geriatric hip fractures. The application of ERAS in the geriatric hip fractures guarantees the health benefits of patients and saves medical expenses, which also provides basis and guidance for the further development and improvement of the entire process perioperative management in the geriatric hip fractures.
Significant progress has been made in the application of ERAS in the geriatric hip fractures. ERAS protocols should be a priority for perioperative therapy management in the geriatric hip fractures.
总结老年髋部骨折手术加速康复（ERAS）及其围手术期治疗管理的最新进展。
广泛回顾了近期关于老年髋部骨折手术加速康复的原始文献，阐述了老年髋部骨折手术加速康复的概念和特点。
在老年髋部骨折围手术期（急诊、术前、术中、术后）管理中实施包括多模式镇痛、炎症控制、静脉输液治疗、早期活动、心理咨询等在内的手术加速康复方案，被认为与降低术后发病率、缩短住院时间和节省费用相关。手术加速康复在老年髋部骨折中的应用保障了患者的健康利益并节省了医疗费用，也为老年髋部骨折围手术期全程管理的进一步发展和完善提供了依据和指导。
手术加速康复在老年髋部骨折中的应用取得了显著进展。手术加速康复方案应成为老年髋部骨折围手术期治疗管理的优先选择。
