在患有骨骨折的老年人中,与术后食症相关的因素:一个范围审查
Ganying Huang1,2,3, Yitao Zhou2, Huijie Yang3
1The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University (Hangzhou First People's Hospital), Hangzhou, Zhejiang, China.
Frontiers in surgery
|February 20, 2026
概括
在老年人中,关节骨折手术后的术后消化不全是常见的,综合患病率为39%. 由于评估方法不一致,发病率差异很大,这突出了对标准化方法的需求,以及对影响因素 (如肉症) 的进一步研究.
科学领域:
- 老年医学 老年医学
- 手术并发症 手术并发症
- 吞障碍 吞障碍 吞障碍
背景情况:
- 手术后失足症是老年关节骨折患者诊断不足的并发症.
- 它与不良结果有关,包括吸入性肺炎,营养不良和长时间住院治疗.
- 现有的关于其发病率和促成因素的证据是分散的.
研究的目的:
- 绘制有关老年人关节骨折后手术后食障碍发生率和评估的证据.
- 为了确定与这种情况相关的因素.
- 确定知识差距,以改善外科手术期间的管理和康复.
主要方法:
- 根据阿克西和奥马利框架和PRISMA-ScR指南进行范围审查.
- 在2025年6月之前,对9个数据库 (英语和中文) 进行全面搜索.
- 包括60岁以上接受关节骨折手术的患者的研究.
主要成果:
- 包括11项研究,确定了6种吞评估方法.
- 报告的失调发病率有显著的变化;综合流行率为39% (95%CI:0.26-0.53),具有很高的异质性 (I2=99%).
- 影响因素包括患者,手术和与皮症相关的领域,尽管皮症与持续性消化障碍的联系有限.
结论:
- 在老年关节骨折患者中,术后食症是多因素的,发生率报告不一致.
- 评估方法和时间的异质性使数据的解释变得复杂.
- 未来的研究应该探索恢复轨迹和肉症在针对性干预中的作用.
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
732
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
732
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
1.2K
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
1.2K
Pharmacodynamics in Geriatric Patients: Effects of Age
254
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
254
Enteral Nutrition I: Orogastric and Nasogastric Feeding
1.7K
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
1.7K
Peptic Ulcer Disease V: Surgical Management and Nursing Care
979
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
979


