摘要
术后肺炎是髋部骨折患者术后常见的并发症之一,其病死率较高.该症不仅延长患者院内康复的时间,而且严重影响患者的生存质量.因此临床中加强对髋部骨折患者围手术期肺炎的防治尤为重要.在进行防治之前,明确髋部骨折患者术后肺炎的影响因素是减轻患者经济负担、提高医疗效率的关键.本文将术后肺炎的因素归纳为人口统计学因素、伤前合并症、血液指标及临床干预因素四项,确定每个因素的独立性或危险性并对其作用机制及目前的局限性进行综述.
Abstract
Post-operative pneumonia is a common complication in patients with hip fractures,and its mortality rate is high,which not only increases the time for patients to recover in hospital,but also seriously affects the quality of life of patients.Therefore,it is particularly important to strengthen the prevention and treatment of perioperative pneumonia in patients with hip fracture in clinical practice.Before prevention and treatment,it is the key to reduce the economic burden of patients and improve medical efficiency to clarify the impacting factors of post-operative pneumonia in patients with hip fracture.In this paper,the factors of post-operative pneumonia are summarized as demographic factors,pre-injury complications,blood indicators and clinical intervention factors,and the independence or risk of each factor is determined,and its function mechanism and current limitations are reviewed.
基金项目
北京市医院管理中心青年人才培养"青苗"计划(QML20232201)