高龄髋部骨折术后认知功能障碍的特点及防治康复措施

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Abstract Objective To observe postoperative cognitive dysfunction (POCD) in elderly patients with hip fracture, to understand its pathogenesis, clinical manifestations, give prevention and treatment measures to promote early rehabilitation of the patients.Method Clinical data of 120 hip fracture patients were retrospectively analyzed from January 2011 to January 2014 in this hospital. All patients’ age were older than 70 years. There were 40 patients diagnosed as having POCD after surgery, to explore the clinical features, causes and prevention measures.Results After symptomatic treatment and comprehensive treatment, 25 of 40 POCD patients’ cognitive dysfunction improved within 1 week postoperatively, 13 cases improved within 2 weeks after surgery. But 2 cases still had cognitive dysfunction 6 months postoperatively.Conclusions The incidence of POCD in elderly patients with hip fracture is associated with preoperative cognitive impairment, perioperative anemia, blood loss in operation and operation time. But we should be aware that POCD is not caused by a single factor, it is not a simple sum of a variety of factors, but the multiple factors interaction.

Key words： Hip fracture cognitive dysfunction clinical observation elderly patients

Received: 04 May 2016

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R749.29

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	Articles by authors
	YUE Xiaodong
	MENG Yaqiang
	and JIA Jinpeng

Cite this article:

YUE Xiaodong,MENG Yaqiang,and JIA Jinpeng. Clinical observation of postoperative cognitive dysfunction in elderly patients with hip fracture[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(9): 910-912.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2016/V27/I9/910

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