Study on the Perioperative Management Process of Elderly Proximal Femoral Fractures
Objective To study the perioperative management process of elderly proximal femoral fractures,compare the rationality of the old and new process systems and the effectiveness of treatment results,and constantly improve them,so as to develop standardized and reasonable clinical perioperative treatment procedures.Methods A total of 102 elderly patients with hip fracture who used the old process in the department of orthopedics,the Third Affiliated Hospital of Baotou Medical College from January 2016 to July 2019 were selected and included in the old process group in this study.From August 2019 to July 2022,118 patients in the department of orthopedics,the Third Affiliated Hospital of Baotou Medical College used the new processe and were included in the new process group.At the same time,the age,gender ratio,admission diagnosis,average waiting time for operation,intraoperative blood loss,and perioperative blood transfusion volume of patients during the implementation of the new and old processes were sorted out and collected.The results of hip joint function evaluation,the number of cases of surgical complications,the average medical cost,the average length of hospital stay,and the aggravation of complications were compared between the two groups.By collecting data and comparing between groups,the implementation results of the old and new processes were clarified.Results In the new process group,the average perioperative blood transfusion volume was(257.63±77.24)mL,the operation was completed in 27 cases within 24 h,and the average hospitalization cost was(41 602.6±11 878.49)yuan.Compared with the old process group(333.33±135.22)mL,5 cases,(51 790.49±15 744.51)yuan,the difference was statistically significant(P<0.05).Conclusion The implementation of the new process can effectively shorten the waiting time for surgery,shorten the average length of stay,effectively reduce perioperative blood consumption,reduce hospitalization expenses,and improve the completion rate of surgery within 24 hours.It is an effective perioperative management process.
万方数据
维普
