本文選題：關(guān)節(jié)置換　切入點(diǎn)：并發(fā)癥　出處：《昆明醫(yī)科大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的探討老年患者行關(guān)節(jié)置換手術(shù)的圍術(shù)期管理與可能引起術(shù)后不良事件的危險(xiǎn)因素,為老年患者關(guān)節(jié)置換手術(shù)提供安全保障。方法回顧性分析昆明醫(yī)科大學(xué)第一附屬醫(yī)院骨科2012年2月—2014年4月收治并參與衛(wèi)生部行業(yè)基金《圍術(shù)期老年人病情評(píng)估與風(fēng)險(xiǎn)對(duì)策》研究的114例老年髖膝關(guān)節(jié)置換患者的病例,通過對(duì)老年患者圍手術(shù)期監(jiān)護(hù)及治療手段的評(píng)估干預(yù),獲得詳盡的資料數(shù)據(jù),從術(shù)前病例選擇、圍術(shù)期處理、術(shù)后功能鍛煉相關(guān)情況、患者出院前一天臨床轉(zhuǎn)歸的評(píng)估等方面綜合分析。結(jié)果年齡是術(shù)后不良情況的危險(xiǎn)因素,年齡≥70歲的患者術(shù)后發(fā)生不良情況的可能性較70歲的患者高；術(shù)前是否有伴隨疾病,麻醉方式以及手術(shù)方式對(duì)術(shù)后是否發(fā)生并發(fā)癥無顯著影響。結(jié)論通過認(rèn)真的術(shù)前評(píng)估,按照老年人圍術(shù)期處理操作流程對(duì)老年患者術(shù)前合并疾病進(jìn)行積極處理,選擇安全、有效、個(gè)體化的麻醉方式,加強(qiáng)術(shù)中麻醉管理,有效處理術(shù)中不良事件,積極預(yù)防術(shù)后不良反應(yīng),可以確保其圍術(shù)期的安全。
[Abstract]:Objective to investigate the perioperative management and risk factors of postoperative adverse events in elderly patients undergoing joint replacement surgery. Methods retrospective analysis was made on the clinical data of the orthopedic department of the first affiliated hospital of Kunming medical university from February 2012 to April 2014 and to participate in the evaluation of the condition of the elderly during the perioperative period under the trade fund of the ministry of health. A study of 114 elderly patients with hip and knee arthroplasty. Through the evaluation and intervention of perioperative monitoring and treatment for elderly patients, detailed data were obtained, and the relevant information of preoperative case selection, perioperative treatment and postoperative functional exercise were obtained. Results Age was a risk factor for adverse conditions after operation. The risk of adverse events in patients with age 鈮，

本文編號(hào)：1639499