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老年髋部骨折患者术后肺炎相关因素研究:一篇叙述性综述

Examination of factors causing postoperative pneumonia in elderly hip fracture patients: A narrative review.

作者信息

Ji Dongqi, Li Huanhuan, Jin Shasha, Tian Chunyan, Wu Liang

机构信息

Beijing Xiaotangshan Hospital, Beijing, China.

Tianjin Key Laboratory of Exercise Physiology and Sports Medicine, Institute of Sport, Exercise & Health, Tianjin University of Sport, Tianjin, China.

出版信息

Medicine (Baltimore). 2025 Feb 28;104(9):e41700. doi: 10.1097/MD.0000000000041700.

Abstract

With the increasing aging problem, the number of fractures in the elderly is also increasing, of which hip fractures are more common, known as "the last fracture of life." Postoperative pneumonia (POP) is a common complication of hip fracture, which greatly increases the mortality of patients. It is particularly important to clarify the factors of perioperative pneumonia for the prevention and treatment process. In this paper, the factors causing POP mainly include demographic factors, pre-injury comorbidities, blood index parameters, major clinical interventions and related mechanisms were reviewed, and the risk degree of the factors causing postoperative pneumonia was mainly discussed, and they were divided into independent factors and risk factors. The objective is to make the most accurate POP prevention measures for hip fracture patients according to the classification of independent factors and risk factors, and reduce the incidence of postoperative pneumonia.

摘要

随着老龄化问题日益严重,老年人骨折数量也在增加,其中髋部骨折较为常见,被称为“人生最后一次骨折”。术后肺炎(POP)是髋部骨折常见的并发症,极大地增加了患者的死亡率。在预防和治疗过程中,明确围手术期肺炎的因素尤为重要。本文对导致POP的因素主要包括人口统计学因素、伤前合并症、血液指标参数、主要临床干预措施及相关机制进行综述,主要探讨导致术后肺炎因素的风险程度,并将其分为独立因素和危险因素。目的是根据独立因素和危险因素的分类,为髋部骨折患者制定最准确的POP预防措施,降低术后肺炎的发生率。

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