老年髋部骨折加速康复外科的研究进展

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1、授予单位代码10089学号或申请号20153375中国图书分类号R683.42HebeiMedicalUniversity硕士学位论文专业学位老年髋部骨折加速康复外科的研究进展研究生：周亚斌导师：王庆贤教授专业：外科学骨外二级学院：第三医院2018年3月目录中文摘要···········································································································1英文摘要············

2、·······························································································2英文缩写···········································································································3综述老年髋部骨折加速康复外科的研究进展······························

3、···············4参考文献··········································································································12致谢··················································································································17个人简历·······

4、···································································································18中文摘要老年髋部骨折加速康复外科的研究进展摘要加速康复外科采用循证医学为基础的多种手段指导临床治疗，在多学科收到了良好的效果。老年髋部骨折并发症多死亡率高，随着我国老年社会的到来，将加速康复外科应用于老年髋部骨折领域得到了越来越多的关注。老年髋部骨折后48小时内通过手术治疗，可减少术后并发症降低死亡风险。术前宣

5、教可增加医患之间的沟通，减少患者术前焦虑以及缓解术后疼痛。多模式镇痛的开展，不仅消除了老年患者身体上的不适，还为术后康复的早期开展奠定了基础。手术技巧及术后早期康复的不断改进，使得手术损伤小，术后恢复快，使老人更快地恢复到伤前状态。关键词:加速康复外科,老年人,髋部骨折,治疗进展,治疗应用1英文摘要TheresearchprogressofERASintheelderlypatientswithhipfractureABSTRACTEnhancedrecoveryaftersurgery（ERAS）witht

6、hesupportofevidence-basedmedicinehasbeenwidelyusedintheclinic.ERAShasreceivedgoodresultsinmanyfields.Therearemanycomplicationsandhighmortalityinelderlypatientswithhipfracture.WiththeadventoftheelderlysocietyinChina,moreandmoreattentionhasbeenpaidtotheapplic

7、ationofERASinthefieldofelderlyhipfracture.Surgicaltreatmentwithin48hourscanreducethepostoperativecomplicationsandreducetheriskofdeath.Preoperativeeducationcanincreasecommunicationbetweendoctorsandpatients,reducepreoperativeanxietyandrelievepostoperativepain

8、.Thedevelopmentofmultimodeanalgesianotonlyeliminatesthephysicaldiscomfortoftheelderlypatients,butalsolaysafoundationfortheearlypostoperativerehabilitation.Thecontinuousimprovementofsurgicalskillsmaketh