绿色通道结合多学科协作诊疗模式在老年髋部骨折治疗中的应用研究

Application of green channel combined with multidisciplinary collaborative diagnosisand treatment model in the treatment of geriatric hip fracture

目的探讨绿色通道结合多学科协作诊疗模式在老年髋部骨折治疗中的应用效果。方法选取2019年10月至2022年2月该院收治的老年髋部骨折患者120例,将其分为研究组和对照组,每组60例。对照组采用常规诊疗模式,研究组采用绿色通道结合多学科协作诊疗模式。比较2组术前等待时间、术中出血量、手术时间、住院时间及术后并发症发生率。结果2组术前等待时间和住院时间比较,差异有统计学意义(P<0.05)。2组术中出血量和手术时间比较,差异无统计学意义(P>0.05)。2组术后压疮和肺部感染发生率比较,差异有统计学意义(P<0.05)。2组术后心肌梗死、脑卒中、深静脉血栓形成发生率比较,差异无统计学意义(P>0.05)。结论采用绿色通道结合多学科协作诊疗模式治疗老年髋部骨折,可尽快评估患者术前状况,缩短术前等待时间和住院时间,降低围手术期病死率和术后并发症发生率。

Objective To explore the application effect of green channel combined with multidisciplinary collaborative diagnosis and treatment mode in the treatment of geriatric hip fracture.Methods 120 geriatric hip fracture patients admitted to this hospital from October 2019 to February 2022 were selected and divided into the study group and the control group,with 60 patients in each group.The control group adopted the conventional diagnosis and treatment mode,while the research group adopted the green channel combined with multidisciplinary collaborative diagnosis and treatment mode.The preoperative waiting time,intraoperative bleeding,operation time,hospital stay and postoperative complications rate were compared between the two groups.Results There were statistically significant differences in preoperative waiting time and hospital stay between the two groups(P<0.05).There were no significant differences in the amount of intraoperative bleeding and the operation time between the two groups(P>0.05).There were statistically significant difference in the incidences of pressure sore and pulmonary infection between the two groups(P<0.05).There were no significant differences in the incidences of myocardial infarction,stroke and deep vein thrombosis between the two groups(P>0.05).Conclusion Using green channel combined with multidisciplinary collaborative diagnosis and treatment mode to treat geriatric hip fracture can assess the preoperative status of patients as soon as possible,shorten the preoperative waiting time and hospital stay,and reduce the perioperative mortality and postoperative complications rate.