绿色通道下治疗老年股骨粗隆部骨折手术疗效及预后研讨  

The Efficacy and Prognosis of Elderly Femoral Trochanteric Fracture Surgery under Green Channel

作　　者：窦亚龙 张彪 刘国正 DOU Yalong;ZHANG Biao;LIU Guozheng(Wushan People's Hospital Emergency Center,Tianshui,Gansu Province,741300 China)

机构地区：[1]武山县人民医院急救中心,甘肃天水741300

出　　处：《系统医学》2023年第23期38-41,共4页Systems Medicine

摘　　要：目的研究绿色通道下治疗老年股骨粗隆部骨折手术的治疗效果、预后情况。方法将2022年1月—2023年8月在武山县人民医院治疗的股骨粗隆部骨折患者98例作为研究对象,用随机抽签法,将患者分为对照组49例,研究组49例。对照组患者采用常规治疗流程,研究组患者采用绿色通道流程,观察两组患者在治疗后的并发症发生情况及相关手术指标、分析手术疗效和预后情况。结果研究组患者术后髋关节Harris评分为(82.14±9.07)分,明显高于对照组的(69.98±8.65)分,差异有统计学意义(t=5.314,P<0.05);研究组患者住院天数、自主活动时间分别是(9.18±2.17)、(48.43±5.82)d,少于对照组的(12.14±2.19)、(56.89±5.76)d,差异有统计学意义(P<0.05);研究组患者在术后髋关节疼痛评分为(2.76±1.72)分,远低于对照组(4.24±1.86)分,差异有统计学意义(P<0.05);研究组患者出现下肢静脉血栓1例、内固定松动1例、切口感染1例,远低于对照组患者出现下肢静脉血栓7例、内固定松动7例、切口感染8例,差异有统计学意义(P<0.05)。结论在绿色通道流程下治疗老年股骨粗隆部骨折,患者在术后的并发症发生少、相关手术指标更平稳,缩短了患者的恢复时间,提高了患者的生活质量,具有较好的临床疗效。Objective To study the therapeutic efficacy and prognosis of treating elderly femoral trochanteric fracture surgery under green channel.Methods 98 patients with femoral trochanteric fracture treated in Wushan People's Hospital from January 2022 to August 2023 were taken as the study subjects.Using the random draw method,the patients were divided into 49 cases in the control group and 49 cases in the study group.The patients in the control group were treated with the conventional treatment process,and the patients in the study group were treated with the green channel process,and the occurrence of complications and related surgical indexes,the surgical efficacy and the prognosis of the patients in the two groups were observed after treatment and analyzed.Results The postoperative Harris score of the hip joint of the patients in the study group was(82.14±9.07)points,which was significantly higher than(69.98±8.65)points of the control group,the difference was statistically significant(t=5.314,P<0.05).The number of days of hospitalization and the time of voluntary activity of the patients in the study group were(9.18±2.17)days and(48.43±5.82)days,respectively,which were less than(12.14±2.19)days and(56.89±5.76)days in the control group,the difference was statistically significant(P<0.05).The patients in the study group had a postoperative hip pain score of(2.76±1.72)points,which was much lower than that of the control group(4.24±1.86)points,the difference was statistically significant(P<0.05).There were 1 case of lower extremity venous thrombosis,1 case of internal fixation loosening and 1 case of incision infection in the patients of the study group,which was much lower than that of 7 cases of lower extremity venous thrombosis,7 cases of internal fixation loosening and 8 cases of incision infection in the patients of the control group,the difference was not statistically significant(P>0.05).Conclusion In the treatment of elderly femoral trochanteric fractures under the green channel process,patients had fewe

关 键 词：绿色通道 股骨粗隆部骨折 手术疗效 并发症 手术指标 生活质量 

分 类 号：R687[医药卫生—骨科学]