以量化评估策略为基础的手术室管理方案在老年股骨粗隆间骨折内固定术中的应用

Application of operating room management based on quantitative evaluation strategy in internal fixation of femoral intertrochanteric fractures in the elderly

目的 探讨以量化评估策略为基础的手术室管理方案在老年股骨粗隆间骨折内固定术中的应用效果。方法 选取2022年3月至2023年3月收治的80例老年股骨粗隆间骨折内固定术患者为研究对象,将其随机分2组,每组40例。对照组实施手术室常规护理,观察组采用以量化评估策略为基础的手术室管理方案,对2组的干预效果进行比较。结果 观察组的相关手术指标均优于对照组(P<0.05)。术后8周,2组的Harris评分均高于术后1 d,且观察组高于对照组(P<0.05);术后3 d, 2组的视觉模拟评分(VAS)均低于术后1 d,且观察组低于对照组(P<0.05)。患者出院1个月后,观察组的生活质量评分高于对照组(P<0.05)。对照组术中器械传递失误7例(17.50%),观察组1例(2.50%),观察组的术中器械传递失误率低于对照组(P<0.05)。观察组的术后并发症发生率为20.00%,低于对照组的47.50%(P<0.05)。观察组的护理满意度评分高于对照组(P<0.05)。结论 以量化评估策略为基础的手术室管理方案应用于老年股骨粗隆间骨折内固定术中,具有显著效果,可有效提高患者术后生活质量。

Objective To explore the application effect of operating room management based on quantitative evaluation strategy in internal fixation of femoral intertrochanteric fractures in the elderly.Methods Eighty elderly patients admitted to the People’s Hospital of Rugao for internal fixation of intertrochanteric femoral fractures,with the time period from March 2022 to March 2023,were selected as the study subjects.They were randomly divided into the control group and observation group,with 40 cases in each group.Patients in control group were managed by routine nursing care in the operating room,and those in observation group were additionally intervened by the operating room management based on quantitative assessment strategy.The intervention effects of the two groups were compared.Results The relevant surgical indicators of the observation group were significantly better than those of the control group(P<0.05).At 8 weeks postoperatively,the Harris Hip scores of both groups were significantly higher than those at 1 day postoperatively,which were significantly higher in the observation group than those of the control group(P<0.05).At 3 days postoperatively,the Visual Analog Scale(VAS)scores of both groups were significantly lower than those at 1 day postoperatively,which were significantly lower in the observation group than those of the control group(P<0.05).One month after discharge,the quality of life scores of the observation group were significantly higher than those of the control group(P<0.05).The intraoperative instrument delivery error rate in the observation group was significantly lower than that of the control group(2.50%[1/40]vs 17.50%[7/40],P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that of control group(20.00%vs 47.50%,P<0.05).The nursing care satisfaction scores were significantly higher in the observation group than those of the control group(P<0.05).Conclusion The application of operating room management based on quantitative evaluation strategy has a significant effect on the internal fixation of femoral intertrochanteric fractures in the elderly,which can effectively improve the postoperative quality of life.