老年骨质疏松性骨折患者围手术期管理策略
摘 要
随着人口老龄化加剧，老年骨质疏松性骨折发病率逐年上升，给患者带来严重功能障碍和生活质量下降。本研究旨在探讨优化老年骨质疏松性骨折患者围手术期管理策略，通过前瞻性队列研究，选取2018 - 2022年期间312例老年骨质疏松性髋部骨折患者为研究对象，采用多学科协作模式，建立涵盖术前评估、麻醉选择、手术方式优化、术后康复指导及并发症预防的综合管理体系。结果显示，与传统管理模式相比，新管理模式下患者住院时间缩短2.7天，术后并发症发生率降低15.4%，30天再入院率减少10.2%，患者满意度提升至92.6%。
关键词：骨质疏松性骨折；围手术期管理；多学科协作
Abstract
With the aging of the population, the incidence of osteoporotic fractures in the elderly is increasing year by year, which brings serious dysfunction and decreased quality of life to patients. This study aims to optimize the perioperative management strategy of elderly patients with osteoporotic fracture, Through a prospective cohort study, selected 312 elderly patients with osteoporotic hip fracture from 2018 to 2022, established a comprehensive management system covering preoperative evaluation, anesthesia selection, surgical optimization, postoperative rehabilitation guidance and complication prevention. The results showed that compared with the traditional management mode, the hospital stay was shortened by 2.7 days, the postoperative complication rate decreased by 15.4%, the 30-day readmission rate decreased by 10.2%, and the patient satisfaction increased to 92.6%.
Key words: Osteoporotic fractures; perioperative management; multidisciplinary collaboration
目 录
中文摘要 I
英文摘要 II
目 录 III
引 言 1
第1章、老年患者术前评估策略 2
1.1、骨质疏松程度评估 2
1.2、全身健康状况评估 2
1.3、手术风险预测模型 3
第2章、围手术期营养与代谢管理 4
2.1、术前营养状态优化 4
2.2、术后营养支持方案 4
2.3、微量元素补充策略 5
第3章、围手术期疼痛与康复管理 6
3.1、术前疼痛控制措施 6
3.2、术后镇痛方案选择 6
3.3、康复训练计划制定 7
第4章、并发症预防与护理策略 8
4.1、血栓预防措施实施 8
4.2、感染防控综合方案 8
4.3、心理支持与护理干预 9
结 论 10
参考文献 11
摘 要
随着人口老龄化加剧，老年骨质疏松性骨折发病率逐年上升，给患者带来严重功能障碍和生活质量下降。本研究旨在探讨优化老年骨质疏松性骨折患者围手术期管理策略，通过前瞻性队列研究，选取2018 - 2022年期间312例老年骨质疏松性髋部骨折患者为研究对象，采用多学科协作模式，建立涵盖术前评估、麻醉选择、手术方式优化、术后康复指导及并发症预防的综合管理体系。结果显示，与传统管理模式相比，新管理模式下患者住院时间缩短2.7天，术后并发症发生率降低15.4%，30天再入院率减少10.2%，患者满意度提升至92.6%。
关键词：骨质疏松性骨折；围手术期管理；多学科协作
Abstract
With the aging of the population, the incidence of osteoporotic fractures in the elderly is increasing year by year, which brings serious dysfunction and decreased quality of life to patients. This study aims to optimize the perioperative management strategy of elderly patients with osteoporotic fracture, Through a prospective cohort study, selected 312 elderly patients with osteoporotic hip fracture from 2018 to 2022, established a comprehensive management system covering preoperative evaluation, anesthesia selection, surgical optimization, postoperative rehabilitation guidance and complication prevention. The results showed that compared with the traditional management mode, the hospital stay was shortened by 2.7 days, the postoperative complication rate decreased by 15.4%, the 30-day readmission rate decreased by 10.2%, and the patient satisfaction increased to 92.6%.
Key words: Osteoporotic fractures; perioperative management; multidisciplinary collaboration
目 录
中文摘要 I
英文摘要 II
目 录 III
引 言 1
第1章、老年患者术前评估策略 2
1.1、骨质疏松程度评估 2
1.2、全身健康状况评估 2
1.3、手术风险预测模型 3
第2章、围手术期营养与代谢管理 4
2.1、术前营养状态优化 4
2.2、术后营养支持方案 4
2.3、微量元素补充策略 5
第3章、围手术期疼痛与康复管理 6
3.1、术前疼痛控制措施 6
3.2、术后镇痛方案选择 6
3.3、康复训练计划制定 7
第4章、并发症预防与护理策略 8
4.1、血栓预防措施实施 8
4.2、感染防控综合方案 8
4.3、心理支持与护理干预 9
结 论 10
参考文献 11
