绿色通道对老年股骨粗隆部骨折的临床疗效

目的 探究绿色通道下治疗老年股骨粗隆部骨折手术疗效及预后情况.方法 2019年6月至2020年6月西安市红会医院创伤骨科下肢病区收治的股骨粗隆部骨折患者100例.其中2019年6月至2019年12月收治的股骨粗隆部骨折患者50例为常规组,予常规治疗;2020年1月至2020年6月收治的股骨粗隆部骨折患者50例为绿色通道...

Clinical effect of green channel in the treatment of elderly patients with femoral intertrochanteric fracture

Objective To explore the operative effect and prognosis of the treatment of senile trochanteric fracture in green channel.Methods A total of 100 patients with trochanteric fracture of femur admitted to the lower limb department of orthopedics and trauma department of Xi'an Honghui Hospital from June 2019 to June 2020 were selected as the research subjects.Fifty patients with trochanteric fracture of femur admitted to the lower limb department from June 2019 to December 2019 were selected as the routine group and received routine treatment;Fifty patients with trochanteric fracture of femur admitted from January 2020 to June 2020 were selected as the green channel group and came into the green channel.Preoperative general information,operative time,intraoperative blood loss,postoperative complications,Harris score of hip function,quality of life score and other related indexes were compared between the two groups.Results The operation was completed successfully in both groups.There was no statistical significance in preoperative general information of patients in both groups,such as gender,age,fracture type and complicated medical diseases(all P>0.05).Compared with the conventional group,the operative time of the green channel group was shorter(P<0.001).The amount of intraoperative blood loss,postoperative one-day drainage volume and latent blood loss in the green channel group were less than those in the conventional group(P<0.001).The hospitalization time and postoperative bed rest time of the green channel group were shorter than those of the conventional group(all P<0.05).There was no delayed healing in the green channel group and 1 case in the conventional group(P=0.044).There were 3 cases of hip pain in the green channel group and 6 cases in the conventional group(P=0.036).There were 2 cases of pressure sores in the green channel group and 5 cases in the conventional group(P=0.018).There was 1 case of incision infection in the green channel group and 3 cases in the conventional group(P=0.041).Harris score of hip function in the green channel group was higher than that in the conventional group at 1,3,6 months after operation(all P<0.05).Six months after operation,physiological function,physical pain,vitality and social function scores in the green channel group were higher than those in the conventional group(P<0.05).There was no significant difference between the two groups in Harris hip function score,incidence of postoperative venous thrombosis,incidence of internal fixation loosening,incidence of myocardial infarction,incidence of pulmonary infection,Role Physical score,General health score,emotional function score and mental health score(P>0.05).Conclusion The green channel in the treatment of elderly femoral intertrochanteric fracture has less postoperative complications,faster postoperative recovery and higher quality of life.