人工关节置换术后严重内科并发症分析

发布时间：2018-03-04 01:20

  本文选题：人工髋关节置换术　切入点：人工膝关节置换术　出处：《中国矫形外科杂志》2015年21期 　论文类型：期刊论文

【摘要】：[目的]调查人工髋、膝关节置换术后严重内科并发症的特点和危险因素,为人工关节置换术的围手术期管理和临床决策提供参考。[方法]研究对象为2013年5月1日~12月31日期间行初次人工髋或膝关节置换术的患者。采集患者的基本信息、病史、麻醉、手术及术后并发症情况,分析术后并发症的特点和危险因素。[结果]共有1 050例患者行1 188个初次人工髋或膝关节置换术。患者的平均年龄为(59.9±11.9)岁,70.1%的患者为女性。人工关节置换术后严重内科并发症的发生率为4.8%,包括心梗(0.1%)、心绞痛(1.9%)、心律失常(1.2%)、心衰(0.4%)、脑梗(0.6%)、肺栓塞(0.2%)和慢性阻塞性肺病急性加重(0.4%)。90%的严重内科并发症发生于术后4 d内。年龄≥70岁(OR:2.49,95%CI:1.17~5.29)和ASAⅢ级(OR:15.97,95%CI:2.66~95.79)是严重内科并发症的危险因素。[结论]人工髋、膝关节置换术后会出现严重的内科并发症。要重视患者的围手术期管理,尤其是高龄和高ASA分级的患者。人工关节置换术后住院日不宜过短。
[Abstract]:[objective] to investigate the characteristics and risk factors of severe medical complications after hip and knee arthroplasty. To provide reference for perioperative management and clinical decision making of artificial joint replacement. [methods] the subjects of the study were the patients who underwent the first hip or knee arthroplasty from May 1st 2013 to December 31st. The basic information and history of the patients were collected. Anesthesia, surgery and postoperative complications, The characteristics and risk factors of postoperative complications were analyzed. [results] A total of 1 050 patients were treated with 1 188 primary hip or knee arthroplasty. The average age of the patients was 59.9 卤11.9 years old. 70.1% of the patients were female. The incidence of severe internal complications was 4.8, including myocardial infarction 0.1, angina 1.9, arrhythmia 1.2, heart failure 0.4, cerebral infarction 0.6, pulmonary embolism 0.2) and chronic obstructive pulmonary disease acute exacerbation 0.40.90% of serious internal complications occurred within 4 days after operation. Age 鈮，

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