急诊绿色通道在老年髋部骨折救治中的作用  

The role of emergency green channel in elderly patients with hip fracture

作　　者：王颖[1] 贺艳茹 石敬[1] 勾洋[1] 刘志伟[1] Wang Ying;He Yan-ru;Shi Jing;Gou Yang;Liu Zhi-wei(Emergency Department of Beijing Jishuitan Hospital,Beijing 100035,China)

机构地区：[1]北京积水潭医院急诊科,北京100035

出　　处：《中国急救医学》2020年第9期879-882,共4页Chinese Journal of Critical Care Medicine

基　　金：北京积水潭医院青年人才培养“学科新星”计划项目(XKXX201807)。

摘　　要：目的探讨急诊绿色通道在老年髋部骨折患者救治中的作用.方法将2017年5月至2019年4月北京积水潭医院收治老年髋部骨折患者1737例,分为传统治疗组564例,绿色通道组1173例,对比两组患者手术等待时间、平均住院日、围手术期病死率、手术后并发症发生情况.结果传统组与绿色通道组平均年龄分别为(80.48±7.46)岁和(80.51±7.85)岁,差异无统计学意义(P>0.05).传统组男性176例、女性388例,绿色通道组男性325例、女性848例,差异无统计学意义(P>0.05).传统组及绿色通道组平均手术等待时间分别为(3.44±1.14)d和(2.34±1.37)d,差异有统计学意义(P<0.05).传统组与绿色通道组平均住院日分别为(5.98±1.80)d和(5.49±2.25)d,两组比较差异有统计学意义(P<0.05).传统组与绿色通道组围手术期病死率分别为0.18%、0.17%,两组比较差异无统计学意义(P>0.05).绿色通道组患者在院期间术后并发症发生比例明显低于传统组患者(62/1173 vs.102/564,P<0.05).结论急诊开设老年髋部骨折绿色通道,能有效缩短手术前等待时间及平均住院时间,未增加围手术期病死率,减少发生手术后并发症风险,值得临床推广应用.Objective To evaluate the role of emergency green channel in the treatment of elderly patients with hip fracture.Method 1737 elderly patients with hip fractures admitted to Beijing Jishuitan Hospital from May 2017 to April 2019 were divided into two groups.There were 564 cases in the traditional treatment group and 1173 cases in the emergency green channel group.Surgery waiting time,the average hospitalization day,mortality and postoperative complications were compared between the two groups.Result The average age of patients in the traditional treatment group and in the emergency green channel group were(80.48±7.46)years old and(80.51±7.85)years old,respectively.There was no significant difference in average age between the two groups(P〉0.05).Patients in the traditional treatment group included 176 males and 388 females.The emergency green channel group included 325 males and 848 females.There was no significant difference in gender between the two groups(P>0.05).The average operation waiting time of patients in the traditional treatment group and in the emergency green channel group was(3.44±1.14)days and(2.34±1.37)days,respectively,there were significant differences(P<0.05).The average length of stay in the traditional treatment group and in the emergency green channel group was(5.98±1.80)days and(5.49±2.25)days respectively,there were significant differences(P<0.05).The perioperative mortality in the traditional treatment group and in the emergency green channel group were 0.18%and 0.17%respectively.The difference was not statistically significant(P>0.05).The incidence of postoperative complications was significantly lower in the emergency green channel group compared with the traditional treatment group(62/1173 vs.102/564).The difference was statistically significant(P<0.05).Conclusion The green channel in emergency department for the elderly hip fracture can effectively shorten the patientzs waiting time before surgery and the average hospital stay.There was no significant different in mortality.So

关 键 词：老年 髋部骨折 急诊 绿色通道 

分 类 号：R687.3[医药卫生—骨科学]