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中华肩肘外科电子杂志

中华肩肘外科电子杂志 ›› 2024, Vol. 12 ›› Issue (03) : 193 -204. doi: 10.3877/cma.j.issn.2095-5790.2024.03.001

诊疗方案

老年肱骨近端骨折诊疗策略中国专家共识（2024年版）
天津市天津医院, 中国医师协会骨科医师分会肩肘外科学组, 国际矫形与创伤外科学会（SICOT）中国部肩肘外科委员会, 中国医疗保健国际交流促进会骨科学分会肩肘外科学部   
  • 收稿日期:2024-06-25 出版日期:2024-08-05
  • 基金资助:
    上海市老龄化和妇儿健康研究专项(2020YJZX0126); 2021年度广东省基础与应用基础研究基金企业联合基金（公共卫生与医药健康领域）项目(2021A1515220133)
  • Received:2024-06-25 Published:2024-08-05
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天津市天津医院, 中国医师协会骨科医师分会肩肘外科学组, 国际矫形与创伤外科学会（SICOT）中国部肩肘外科委员会, 中国医疗保健国际交流促进会骨科学分会肩肘外科学部. 老年肱骨近端骨折诊疗策略中国专家共识（2024年版）[J]. 中华肩肘外科电子杂志, 2024, 12(03): 193-204.

老年肱骨近端骨折是常见的骨质疏松性骨折之一，老年肱骨近端骨折患者如果没有得到恰当的治疗将严重影响患者生活质量。目前对于肱骨近端骨折的诊疗策略存在诸多争议，为规范老年肱骨近端骨折临床诊疗行为，提高中国老年肱骨近端骨折诊疗水平，天津市天津医院、中国医疗保健国际交流促进会骨科学分会肩肘外科学部、中国医师协会骨科医师分会肩肘外科学组、国际矫形与创伤外科学会（SICOT）中国部肩肘外科委员会共同发起制定《老年肱骨近端骨折诊疗策略中国专家共识（2024年版）》，共提出23条推荐意见，旨在提高我国肱骨近端骨折临床诊疗的规范化与标准化。

关键词: 老年人, 肱骨, 骨折, 诊断, 治疗, 专家共识
表1 本共识证据等级和推荐强度
项目 说明
证据等级  
等级Ⅰ 高质量的随机对照临床试验、权威指南以及高质量系统综述和荟萃分析
等级Ⅱ 一定研究局限性的随机对照试验研究（如无隐藏分组、未设盲、未报告失访）、队列研究、病例系列研究及病例对照研究
等级Ⅲ 病例报道、专家意见
推荐强度  
强推荐 该方案大多数患者、医师和政策制定者都会采纳
中度推荐 该方案多数人会采纳，但仍有部分人不采纳，要结合患者具体情况作出决定
弱推荐 证据不足，需要患者、医师和政策制定者共同讨论决定
图1 老年肱骨近端骨折评估与治疗流程图
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