何立文

[摘要] 目的 探究髋部骨折老年患者围手术期并发症的防治措施。方法 选取2013年1月～2016年8月广东省信宜市人民医院收治的髋部骨折老年患者135例，随机分为对照组与观察组。对照组67例，实施常规护理与治疗。观察组68例，基于常规护理实施围手术期护理与治疗。比较两组患者并发症发生率及生活质量评分。结果 观察组并发症发生率（7.35%）显著低于对照组（26.87%），差异具有统计学意义（P<0.05）。观察组生理功能、躯体疼痛、社会功能等生活质量评分显著高于对照组，差异具有统计学意义（P<0.05）。结论 围手术期护理与治疗可降低髋部骨折老年患者并发症发生率，提高生活质量。

[关键词] 髋部骨折；围手术期；并发症

[中图分类号] R473.6 [文献标识码] A [文章编号] 2095-0616（2017）07-214-03

Prevention and treatment of perioperative complications of elderly patients with hip fracture

HE Liwen

Xinyi People's Hospital，Xinyi 525300，China

[Abstract] Objective To explore the prevention and treatment of perioperative complications of elderly patients with hip fracture. Methods 135 elderly patients with hip fracture who were admitted to Xinyi Peoples Hospital from January 2013 to August 2016 were selected and randomly divided into the control group and the observation group.67 patients in the control group were given routine nursing and treatment.68 patients in the observation group were given perioperative nursing and treatment at the basis of routine nursing.The incidence of complications and quality of life of patients in 2 groups were compared. Results The incidence of complications of the observation group was 7.35%，significantly lower than that of the control group 26.87%.The difference was statistically significant（P<0.05）.The scores of physical function， physical pain and social function and other quality of life scores of the observation group were significantly higher than those of the control group.Differences were statistically significant（P<0.05）. Conclusion Perioperative nursing and treatment can reduce the incidence of complications of elderly patients with hip fracture and improve the quality of life.

[Key words] Hip fracture；Perioperative period；Complication

髖部骨折是一种常见的老年骨折类型，跌伤、车祸伤等为骨折的主要原因，由于老年髋部骨折患者多合并各种基础疾病、手术耐受力较低，手术治疗风险余术后并发症的发生率显著增大[1]。老年患者围手术期并发症的发生严重影响着患者的预后及生活质量，为提高髋部骨折老年患者生活质量与手术疗效，本研究选择2013年1月～2016年8月广东省信宜市人民医院收治的髋部骨折老年患者135例为研究对象，对其围手术期并发症的防治措施进行探究，现将本研究结果报道如下。

1 资料与方法

1.1 一般资料

选取2013年1月～2016年8月广东省信宜市人民医院收治的髋部骨折老年患者135例，随机分为对照组与观察组。对照组67例，实施常规护理与治疗，男30例，女37例；年龄75～83岁，平均（79.5±1.4）岁；骨折类型：股骨粗隆间骨折25例，股骨颈骨折18例，股骨转子间骨折24例；骨折原因：车祸伤8例，上下楼梯摔伤31例，洗澡跌伤28例。观察组68例，基于常规护理实施围手术期护理与治疗，男28例，女40例；……