高龄髋部骨折患者围手术期肺部感染危险因素分析和风险控制

摘要

目的：探讨高龄髋部骨折患者围手术期肺部感染危险因素和风险控制。方法对2009年1月—2013年12月进行手术治疗的高龄髋部骨折患者197例进行危险因素分析及探讨治疗对策。结果197例患者中肺部感染42例，患者的年龄，吸烟史，糖尿病，血红蛋白，受伤至手术时间，手术时间是老年髋部骨折患者发生肺部感染的独立危险因素（P<0.05）。结论高龄髋部骨折患者应尽早入院接受正规治疗，术前积极治疗合并症，改善肺功能，减少围手术前肺部感染的发生。%Objective To explore the risk factors and risk control related to peri-operative pulmonary infection in elder patients with hip fracture. Methods The clinical data of 197 elderly patients with hip fractures treated by surgery from January 2009 to December 2013 were retrospectively analyzed for summarizing the risk factors related to peri-operative pulmonary infection and in-vestigating treatment countermeasures. Results There were 42 cases with pulmonary infection in 197 patients. The independent risk factors related to pulmonary infection in the elder patients with hip fracture included the patient's age, smoking history, dia-betes, the level of hemoglobin, interval between injury and surgery and operating time (P<0.05). Conclusion Elderly patients with hip fracture should be admitted to hospital for regular treatment as early as possible, and the complications should be treated posi-tively before the operation so as to improve the pulmonary function, which can reduce the incidence of pulmonary infection during the peri-opertive period.