新型冠状病毒肺炎疫情期骨折患者手术情况分析及经验  

Analysis and experience of fracture patients during the outbreak of COVID-19

作　　者：虞佩[1] 庄澄宇[1] 刘敬锋[1] 叶庭均[1] 张胤 吴传龙 王蕾[1] Yu Pei;Zhuang Chengyu;Liu Jingfeng;Ye Tingjun;Zhang Yin;Wu Chuanlong;Wang Lei(Department of Orthopedics,Ruijin Hospital,Shanghai Jiaotong University,Shanghai,200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院骨科,上海200025

出　　处：《生物骨科材料与临床研究》2020年第2期21-26,共6页Orthopaedic Biomechanics Materials and Clinical Study

摘　　要：目的探讨新型冠状病毒肺炎疫情期骨折手术患者的诊疗情况,完善诊疗流程。方法本研究回顾分析了2020年1月20日至2020年3月1日新冠肺炎疫情期间骨折住院患者的资料,入院共96例,其中手术患者87例。统计和分析患者资料,包括年龄、性别、受伤部位、受伤地点、入院时间、手术时间和出院时间等。根据收治情况总结诊疗骨折患者的相关流程。结果入院患者中70岁以上老年患者37例,占总入院患者的38.5%;髋部骨折28例,占70岁以上老年患者的75.7%。手术患者平均年龄(64.48±18.71)岁,受伤至住院平均时间(2.98±5.83)d,入院至手术时间(4.01±3.61)d,平均住院时间(7.98±4.07)d。髋部骨折组年龄[(77.52±14.03)岁vs.(56.35±16.92)岁,P<0.001)]和住院时间[(10.86±3.49)d vs.(7.02±3.75)d,P<0.001]高于其他四肢骨折组。无死亡患者、输血患者,无严重并发症。本研究制定了骨折患者诊疗流程和注意事项。结论老年髋部骨折是新型冠状病毒肺炎疫情期间最主要的骨折类型,在居家观察的同时要预防老年人摔倒。完善的流程能够保证疫情期间骨折患者的手术安全有效。Objective To investigate the situation of fracture patients during the outbreak of coronavirus disease 2019(COVID-19), and improve the diagnosis and treatment process. Methods This study retrospectively analyzed the data of 96 hospitalized fracture patients during the outbreak of COVID-19 from January 20, 2020 to March 1, 2020, including 87 surgical patients. Statistics and analysis of patient data were recorded, including age, gender, injury site, injury location, admission time, operation time and discharge time. Summarizing the procedures of diagnosis and treatment of fracture patients. Results Among the hospitalized patients, 37(38.5%) cases were over 70 years old, and among them, 28(75.7%) cases suffered hip fractures. The average age of the patients was(64.48±18.71) years old, and the average length of stay from injury to hospitalization was(2.98±5.83) d, from admission to surgery was(4.01±3.61) d,and the average length of stay was(7.98±4.07) d. Age [(77.52±14.03) years vs.(56.35±16.92) years, P<0.001)]and length of stay [(10.86±3.49) d vs.(7.02±3.75) d, P<0.001] were higher in the hip fracture group than in the other fracture group. No patients died and complications were happened. Process and notes of treatment were made. Conclusion Hip fracture in the elderly is the most important fracture type during the outbreak of COVID-19. Falls in the elderly should be prevented at home. Safe and effective surgery can be ensured by complete process.

关 键 词：新型冠状病毒肺炎 骨折 髋部 流程 

分 类 号：R683[医药卫生—骨科学]