老年股骨粗隆间骨折快速通道协同治疗
宋远征;李杰;张峰;林峰;
摘要(Abstract):
[目的]探讨快速通道协同骨折联络服务治疗老年股骨粗隆间骨折的效果。[方法]将2017年1月~2019年1月治疗的154例老年股骨粗隆间骨折患者随机分为协同组和传统组,协同组78例采用快速通道协同骨折联络服务治疗,传统组76例采用传统方法治疗,比较两组围手术期、随访资料。[结果]两组入院时疼痛VAS评分差异无统计学意义(P>0.05);协同组入院时间、手术延迟时间、住院时间、住院期间的并发症发生率、离床部分负重时间、完全负重活动时间均小于传统组(P<0.05)。患者住院期间满意度评分、术后各对应时间点屈髋ROM、Harris评分协同组高于传统组(P<0.05)。两组患者随访时间、术后3个月死亡率差异无统计学意义(P>0.05),而出院后1年内的死亡率协同组少于传统组(P<0.05)。[结论]快速通道协同骨折联络服务治疗老年股骨粗隆间骨折可有效缓解患者疼痛,改善患者术后髋关节功能、降低并发症发生率,减少出院后1年内的死亡率,提高患者满意度,值得临床推广。
关键词(KeyWords): 髋部骨折;快速通道;多科学协作;骨折联络服务
基金项目(Foundation):
作者(Author): 宋远征;李杰;张峰;林峰;
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参考文献(References):
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