老年髋部骨折预后的围术期相关危险因素研究进展

doi:10.3969/j.issn.1003-9198.2025.10.019

摘要/Abstract

摘要： 随着社会老龄化的进展,老年髋部骨折的发病率逐年升高。老年髋部骨折病人除了衰弱和骨质疏松外,常合并多种内科疾病,围术期处理棘手,术后致残率和死亡率高,导致病人家庭及社会负担加重。目前,多数老年髋部骨折临床诊疗指南或专家共识都推荐开展围术期多学科综合诊疗,加强对病人围术期危险因素的评估和处理。本文阐述了老年髋部骨折预后的围术期相关危险因素的评估及处理,旨在通过对可控危险因素的系统化干预与优化,改善老年髋部骨折病人的临床预后。

关键词: 老年人, 髋部骨折, 多学科诊疗, 危险因素, 预后

Abstract: With the progression of population aging, the incidence of hip fractures in elderly patients has been increasing annually. Beyond inherent frailty and osteoporosis, elderly patients with hip fractures often suffer from multiple comorbidities, making perioperative management particularly challenging. These conditions lead to high postoperative disability rates and mortality rates, significantly increasing burdens on families and society. Current clinical guidelines and expert consensus recommendations for elderly hip fracture patients emphasize the importance of multidisciplinary perioperative care. Strengthening assessment and management of perioperative risk factors can improve patient’s outcomes. This article explores the evaluation and management of perioperative risk factors affecting hip fracture prognosis in elderly patients. By implementing systematic interventions and optimizations for controllable risk factors, we aim to enhance clinical outcomes for elderly hip fracture cases.

Key words: aged, hip fracture, multidisciplinary team, risk factors, prognosis

中图分类号:

R 683.3

殷悦恒, 田楚伟, 周钧, 沈剑粦, 方玮, 何劲, 石柳, 芮云峰. 老年髋部骨折预后的围术期相关危险因素研究进展[J]. 实用老年医学, 2025, 39(10): 1062-1067.

YIN Yueheng, TIAN Chuwei, ZHOU Jun, SHEN Jianlin, FANG Wei, HE Jin, SHI Liu, RUI Yunfeng. Advances of perioperative risk factors for the prognosis of geriatric hip fractures[J]. Practical Geriatrics, 2025, 39(10): 1062-1067.

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