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目的探讨老年人髋关节骨折合并糖尿病手术与血糖控制不同程度的关系以及围手术期的处理方法与经验。方法对老年人髋关节骨折合并糖尿病围手术期进行的各种体检及血糖控制标准、术后处理方法进行综合分析。结果对老年人髋关节骨折合并糖尿病患者在术前严格体检,全面评判全身情况,控制血糖,术后早期主动和被动活动,抗凝剂早期使用,是手术成功的关键。结论老年人髋关节骨折合并糖尿病手术应在围手术期间注意全面体检、准确评判,控制血糖在一定范围,术后主动与被动活动,使用抗凝剂,可显著提高手术成功率,降低死亡率。
Objective To investigate the relationship between the degree of blood sugar control and the degree of diabetes in elderly patients with hip fracture and perioperative management and experience. Methods A comprehensive analysis of various physical examination and blood glucose control standards and postoperative management methods was conducted in the elderly with hip fracture and diabetes mellitus perioperative period. Results The key to the success of the operation was the strict examination of the patients with hip fractures and diabetes mellitus in the elderly before comprehensive evaluation of the whole body, control of blood glucose, active and passive activities in the early postoperative period and early use of anticoagulants. Conclusion Elderly patients with hip fracture and diabetes surgery should pay attention to comprehensive physical examination during perioperative period, accurate assessment, control of blood glucose in a certain range, postoperative active and passive activities, the use of anticoagulants can significantly improve the success rate of surgery and reduce mortality.