CAJ | 학술논문

目的：讨论并分析关于老年髋部骨折合并糖尿病患者手术治疗的方法及临床效果。方法选取该院2011年5月-2013年12月期间收治的40例老年髋部骨折合并糖尿病患者为研究对象，采用回顾性分析的方式对其术前准备、麻醉方法和手术方法进行总结和分析。结果该研究所选取的40例患者血糖控制效果好，且全部顺利度过围手术期，治疗效果高于预期，经过术后随访髋关节功能优良率达到了92.5%(37/40)。结论围手术期控制好患者的血糖，科学的选择麻醉及手术方式，并配合有针对性的术后康复性锻炼，是提高老年髋部骨折合并糖尿病患者治疗效果的关键。
목적：토론병분석관우노년관부골절합병당뇨병환자수술치료적방법급림상효과。방법선취해원2011년5월-2013년12월기간수치적40례노년관부골절합병당뇨병환자위연구대상，채용회고성분석적방식대기술전준비、마취방법화수술방법진행총결화분석。결과해연구소선취적40례환자혈당공제효과호，차전부순리도과위수술기，치료효과고우예기，경과술후수방관관절공능우량솔체도료92.5%(37/40)。결론위수술기공제호환자적혈당，과학적선택마취급수술방식，병배합유침대성적술후강복성단련，시제고노년관부골절합병당뇨병환자치료효과적관건。
Objective To discussion and analysis about the elderly hip fracture patients with diabetes mellitus methods and clini-cal effect of surgical treatment. Methods select our hospital in May 2011-December 2013 admitted during the period of 40 cases of elderly hip fracture patients with diabetes mellitus as the research object, with the method of retrospective analysis to its preop-erative preparation, anesthesia methods and operation methods are summarized and analyzed. Results Selected 40 patients blood sugar control effect is good, and all through perioperative treatment effect is higher than expected, after postoperative follow-up of hip joint function was 92.5%(37/40). Conclusion Perioperative patients with good control of blood sugar, scientific selection of anesthesia and operation method, and cooperate with the targeted postoperative rehabilitation exercise, is to improve the elderly hip fracture patients with diabetes mellitus treatment effect is the key.