兰细香 张敏 刘会子

[摘要] 目的 探讨“绿色通道”对老年髋部骨折患者的等待手术时间及住院时间的影响。 方法 选取2018年1月至2019年12月我院收治的90例老年髋部骨折患者为研究对象，用随机数字表法分为对照组和观察组，每组各45例。其中对照组患者按照常规急诊治疗，观察组患者开启急诊绿色通道进行救治，对比两组患者在不同救治模式下的等待手术时间、辅助检查时间、住院时间、并发症及护理满意度。 结果 观察组患者的等待手术时间、辅助检查时间、住院时间均短于对照组（P<0.05）;观察组的术后并发症发生率也明显低于对照组（P<0.05）;观察组的护理满意度显著高于对照组（P<0.05）。 结论 在老年髋部骨折患者中采取急诊绿色通道进行救治，术后并发症少，满意度高，同时还能有效缩短等待手术时间、辅助检查时间、住院时间，可在老年骨折患者救治中推广应用。

[关键词] 绿色通道;老年髋部骨折;等待手术时间;住院时间

[中图分类号] R687.3          [文献标识码] A          [文章编号] 1673-9701（2021）34-0020-04

[Abstract] Objective To explore the effect of green channel on waiting time for operation and length of hospital stay in elderly patients with hip fracture. Methods A total of 90 elderly patients with hip fracture admitted to our hospital from January 2018 to December 2019 were selected. They were divided into the control group and the observation group using random number table method， with 45 patients in each group. The control group were given conventional emergency treatment， while the observation group were given emergency green channel. The waiting time for operation， auxiliary examination time， length of hospital stay， postoperative complications during hospitalization， and nursing satisfaction were compared between the two groups. Results The waiting time for operation， auxiliary examination time and length of hospital stay in the observation group were shorter than those in the control group （P<0.05）. The incidence of postoperative complications in the observation group was significantly lower than that in the control group （P<0.05）. The nursing satisfaction in the observation group was significantly higher than that in the control group（P<0.05）. Conclusion The emergency green channel can effectively shorten waiting time for operation， auxiliary examination time， and length of hospital stay， reduce incidence of postoperative complications， and improve patients nursing satisfaction in elderly patients with hip fracture. It is worthy of promotion and application in clinical practice.

[Key words] Green channel; Elderly hip fractures; Waiting time for operation; Length of hospital stay

由于老年人的骨密度較低且多伴有骨质疏松，在外力作用下容易发生骨折，因而髋部骨折多发于中老年群体中。有数据表明[1]，老年髋部骨折的人数在逐年增加，并且患病率随着年龄的增大而逐渐升高。由于老年人的抵抗力差，且常伴有其他多种基础性疾病，因此，在突发髋部骨折时，必须要及时采取治疗措施，否则会危及到老年患者的生命健康安全。而绿色通道是通过建立一条简便、安全、快捷的途径和渠道，并在各个科室之间团结协作、相互配合之下，为患者赢取更多救治时间，从而降低手术并发症的发生率[2-3]。为进一步探讨绿色通道建立的效果，本院对45例老年髋部骨折患者采取急诊绿色通道，并以等待手术时间、辅助检查时间、住院时间以及住院期间术后并发症发生率作为指标进行比较，现报道如下。……