中西医结合快速安全手术流程应用于老年股骨转子间骨折临床研究
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R683

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广东省科技计划项目(2020A1414010051);广东省基础与应用基础研究基金项目(2020A1515110966)


Clinical Study on Rapid and Safe Surgical Procedures of Integrated Chinese and Western Medicine for Senile Intertrochanteric Fracture
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    摘要:

    目的:观察中西医结合快速安全手术流程应用于老年股骨转子间骨折的临床疗效。方法:回顾性选取老年股骨转子间骨折患者54 例,按照治疗方法不同分为观察组和对照组各27 例。对照组采用传统手术管理模式,观察组采用中西医结合快速安全手术流程方案。比较2 组手术时间、术中出血量、切口总长度、入院至手术时间、隐性失血量、术后疼痛视觉模拟评分法(VAS) 评分、住院天数、出院满意度评分、住院总费用、术后并发症、术后3 个月髋关节Harris 评分。结果:观察组入院至手术时间短于对照组(P<0.05)。观察组术后并发症例数、住院天数、总费用、出院满意度评分均优于对照组(P<0.05)。术前,2 组VAS 评分比较,差异无统计学意义(P>0.05)。术后第1 天、第2 天、第3 天,2 组VAS 评分逐渐降低(P<0.05),且观察组各时间点VAS 评分均低于对照组(P<0.05)。结论:中西医结合快速安全手术流程能显著缩短老年股骨转子间骨折患者住院时间,减少术后并发症,减轻患者经济负担。

    Abstract:

    Abstract: Objective: To observe the clinical effect of rapid and safe surgical procedures of integrated Chinese and western medicine for senile intertrochanteric fracture. Methods:A total of 54 cases of patients with senile intertrochanteric fracture were retrospectively selected and divided into the observation group and the control group according to different treatment methods,27 cases in each group. The control group was treated with traditional surgical management mode,and the observation group was treated with the rapid and safe surgical procedure of integrated Chinese and western medicine. The operation time,the intraoperative blood loss,the total length of incision,the interval between admission and operation,the hidden blood loss,the Visual Analogue Scale(VAS) of postoperative pain,the days of hospital stay,the scores of discharge satisfaction, the total cost of hospitalization, the postoperative complications, and the Harris scores of hip joint in three months after operation in the two groups were compared. Results: The interval between admission and operation in the observation group was shorter than that in the control group(P<0.05). The case number of postoperative complications,the days of hospital stay,the total cost and the score of discharge satisfaction in the observation group were better than those in the control group(P<0.05). Before operation, there was no significant difference being found in the comparison of VAS scores between the two groups(P>0.05). On the first,second and third days after operation respectively,the VAS scores in the two groups were gradually decreased(P<0.05),and the VAS scores at all time points in the observation group were lower than those in the control group(P<0.05). Conclusion: The rapid and safe surgical procedures of integrated Chinese and western medicine for senile patients with intertrochanteric fracture can significantly shorten their hospitalization time,reduce the postoperative complications and relieve their economic burden.

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王海洲,祁冀,杨冰,刘军,陈海云,陈平.中西医结合快速安全手术流程应用于老年股骨转子间骨折临床研究[J].新中医,2021,53(16):106-111

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  • 在线发布日期: 2021-08-23
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