CAJ | 학술논문

目的：分析高龄患者行髋关节置换术围手术期的危险因素，针对危险因素研究提高手术安全性的处理措施。方法将在怀化市第一人民医院行髋关节置换术的98例患者按年龄分为高龄组与常规组，对比分析高龄患者围术期的危险因素，并据此研究处理措施。结果两组的手术方式与麻醉方式比较差异均有统计学意义（p ＜0?01）。结论通过严格的病例选择与完善的术前准备，高龄患者行人工髋关节置换术安全可行，积极预防与及时正确处理术后并发症，可使绝大多数高龄患者安全地接受手术及术后康复治疗。
목적：분석고령환자행관관절치환술위수술기적위험인소，침대위험인소연구제고수술안전성적처리조시。방법장재부화시제일인민의원행관관절치환술적98례환자안년령분위고령조여상규조，대비분석고령환자위술기적위험인소，병거차연구처리조시。결과량조적수술방식여마취방식비교차이균유통계학의의（p ＜0?01）。결론통과엄격적병례선택여완선적술전준비，고령환자행인공관관절치환술안전가행，적겁예방여급시정학처리술후병발증，가사절대다수고령환자안전지접수수술급술후강복치료。
Objective To analyze the risk factors in perioperative period of hip arthroplasty on elderly patients and thus im_prove surgical safety measures according to the risk factor research results. Methods Ninty eight patients who received hip ar_throplasty in the first people’s hospital of Huaihua were selected and randomly divided into the elderly group and the ordinary group according to their ages. Comparatively analyzed the risk factors in perioperative period of hip arthroplasty of elderly pa_tients,and study accordingly treatment measures. Results The surgical methods and anesthesia methods had significant differ_ences between the two groups(p < 0. 01). Conclusion Through strict patients selection and improved preoperative prepara_tions,it is safe and feasible for elderly patients to receive hip arthroplasty. Active prevention and timely correct treatment of post_operative complications enable the vast majority of elderly patients to undergo surgery and postoperative rehabilitation safely.