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髋部骨折后的功能结局。全身麻醉与区域麻醉的效果。

Functional outcome after hip fracture. Effect of general versus regional anesthesia.

作者信息

Koval K J, Aharonoff G B, Rosenberg A D, Bernstein R L, Zuckerman J D

机构信息

Department of Orthopaedic Surgery, Hospital for Joint Diseases Orthopaedic Institute, New York, NY 10003, USA.

出版信息

Clin Orthop Relat Res. 1998 Mar(348):37-41.

PMID:9553531
Abstract

The effect of anesthetic technique on ambulation and functional recovery after hip fracture was studied in a series of 631 community dwelling, elderly patients. Functional recovery at followup was determined by an 11-item functional rating scale. In univariate analysis, recovery of ambulatory ability and percent functional recovery were significantly higher at 6 months for patients who had general anesthesia. When controlling for potential confounding variables, however, no differences were observed in recovery of ambulatory ability or percent functional recovery between the two groups at 3, 6, or 12 months after hip fracture.

摘要

在一系列631名居住在社区的老年患者中,研究了麻醉技术对髋部骨折后行走和功能恢复的影响。随访时的功能恢复情况通过一个包含11个项目的功能评定量表来确定。在单因素分析中,接受全身麻醉的患者在6个月时行走能力的恢复和功能恢复百分比显著更高。然而,在控制潜在的混杂变量后,髋部骨折后3个月、6个月或12个月时,两组在行走能力恢复或功能恢复百分比方面未观察到差异。

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