中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2014年
2期
153-155
,共3页
庞显伦%杨建%梁熙%兰秀夫%黄伟%童松林
龐顯倫%楊建%樑熙%蘭秀伕%黃偉%童鬆林
방현륜%양건%량희%란수부%황위%동송림
髋骨折%外科手术%生理能力与手术侵袭度
髖骨摺%外科手術%生理能力與手術侵襲度
관골절%외과수술%생리능력여수술침습도
Hip fractures%Surgical procedures,operative%Estimation of physiologic ability and surgical stress
目的 采用生理能力与手术侵袭度(estimation of physiologic ability and surgical stress,E-PASS)评分系统评估髋部骨折患者的手术风险及其应用价值. 方法 回顾性分析2010年1月-2012年1月收治的64例髋部骨折患者,其中男38例,女26例；年龄19 ～ 84岁,平均54.3岁.术前应用E-PASS评分对患者手术风险进行评估,比较并发症出现率及病死率. 结果 16例出现并发症(25％),出现并发症的患者平均E-PASS评分明显高于未出现并发症的患者[(0.64±0.31)分:(0.22±0.31)分,P＜0.05].在E-PASS评分＜0.6的患者中并发症出现率明显低于E-PASS评分＞0.6的患者(19％:50％,P＜0.01).16例E-PASS评分＞0.6的患者中2例死亡,余48例E-PASS评分＜0.6的患者术后均恢复良好. 结论 E-PASS评分能够有效评估术前髋部骨折患者的手术风险,对患者的治疗方式选择有一定的指导意义.
目的 採用生理能力與手術侵襲度(estimation of physiologic ability and surgical stress,E-PASS)評分繫統評估髖部骨摺患者的手術風險及其應用價值. 方法 迴顧性分析2010年1月-2012年1月收治的64例髖部骨摺患者,其中男38例,女26例；年齡19 ～ 84歲,平均54.3歲.術前應用E-PASS評分對患者手術風險進行評估,比較併髮癥齣現率及病死率. 結果 16例齣現併髮癥(25％),齣現併髮癥的患者平均E-PASS評分明顯高于未齣現併髮癥的患者[(0.64±0.31)分:(0.22±0.31)分,P＜0.05].在E-PASS評分＜0.6的患者中併髮癥齣現率明顯低于E-PASS評分＞0.6的患者(19％:50％,P＜0.01).16例E-PASS評分＞0.6的患者中2例死亡,餘48例E-PASS評分＜0.6的患者術後均恢複良好. 結論 E-PASS評分能夠有效評估術前髖部骨摺患者的手術風險,對患者的治療方式選擇有一定的指導意義.
목적 채용생리능력여수술침습도(estimation of physiologic ability and surgical stress,E-PASS)평분계통평고관부골절환자적수술풍험급기응용개치. 방법 회고성분석2010년1월-2012년1월수치적64례관부골절환자,기중남38례,녀26례；년령19 ～ 84세,평균54.3세.술전응용E-PASS평분대환자수술풍험진행평고,비교병발증출현솔급병사솔. 결과 16례출현병발증(25％),출현병발증적환자평균E-PASS평분명현고우미출현병발증적환자[(0.64±0.31)분:(0.22±0.31)분,P＜0.05].재E-PASS평분＜0.6적환자중병발증출현솔명현저우E-PASS평분＞0.6적환자(19％:50％,P＜0.01).16례E-PASS평분＞0.6적환자중2례사망,여48례E-PASS평분＜0.6적환자술후균회복량호. 결론 E-PASS평분능구유효평고술전관부골절환자적수술풍험,대환자적치료방식선택유일정적지도의의.
Objective To use estimation of physiologic ability and surgical stress (E-PASS) to assay operative risks in patients with hip fracture and to discuss its application value.Methods Sixtyfour patients with hip fractures were subjected to the retrospective review.There were 38 males and 26 females,at mean age of 54.3 years (range,19-84 years).The operative risk was assayed by E-PASS and postoperative complications as well as case fatality were detected and compared.Results Postoperative complications developed in 16 patients (25％).E-PASS score was significantly higher for the patients with postoperative complications than in those without [(0.64 ± 0.31) points vs (0.22 ± 0.31) points,P ＜ 0.05].Incidence of complications was significantly lower for patients with a E-PASS score ＜ 0.6 than for those with a E-PASS score ＞ 0.6 (19％ vs 50％,P ＜ 0.01).There were 2 deaths among 16 patients with a E-PASS score ＞ 0.6.The remaining 48 patients with a E-PASS score ＜ 0.6 obtained satisfactory recovery.Conclusion E-PASS is effective for predicting operative risk and is instructive for surgery decision in treatment of hip fractures.
