老年髋部骨折'快速诊治通道'建立的初步探究

摘要

277 patients whose age was over 65 years were performed surgical treatment and divided into two groups that signed A and B before and after establing senile hip fracture fast-track.In two groups,age,gender,comorbidites and the rate of good function of hip joint do not resulted in statistical difference.The average duration from injury to surgery,postoperative mortality,postoperative complications occurrence rate resulted in significant difference(P<0.05).As well as,there was significant correlation between preoperative evaluation system scores and the MOS item short from health survey(SF-36) scores(P=0.01).Therefore,setting up senile hip fracture fast-track can effectively shorten time from injury to surgery,decrease postoperative mortality and complications as well.Meanwhile, the effectiveness preoperative evaluation system is proved.%回顾性分析建立老年髋部骨折快速诊治通道前后手术治疗的≥65岁髋部骨折患者277例,分甲、乙两组,两组性别、年龄、术前合并症及术后髋关节功能Harris评分优良率差异均无统计学意义;平均受伤至手术时间、术后1年病死率、并发症发生率差异均有统计学意义(P<0.05);自行设计的术前评估系统得分与术后末次随访的健康调查简表(SF-36量表)得分(P=0.01).此通道的建立有利于缩短受伤至手术时间、降低术后病死率及并发症发生,临床证实快速评估系统的有效性.