关于老年髋部骨折治疗的临床流程效果分析.docVIP

关于老年髋部骨折治疗的临床流程效果分析 　　[摘要] 目的 分析和探讨老年髋部骨折治疗的临床流程效果。 方法 随机抽取2011年5月―2015年5月该院接诊的80例老年髋部骨折患者作为研究对象，依据不同的临床管理措施进行分组，2011年5月―2013年5月未实行临床流程管理，共35例患者，设为对照组；2013年6月―2015年5月实行了临床流程管理，共45例患者，设为观察组。分别观察两组患者的并发症发生情况，病死率以及住院时间。 结果 实验组老年髋部骨折患者住院期间1年之后病死、并发症发生率分别为8.9%和15.5%；对照组患者住院期间1年内病死、并发症发生率分别为20%和31.4%。两组患者之间差异有统计学意义（P0.05）。 结论 老年髋部骨折治疗的临床流程在使用过程中能够较为显著的治疗效果，值得在今后的临床治疗过程中进行使用和推广。 　　[关键词] 髋部骨折；临床流程；效果 　　[中图分类号] R275 [文献标识码] A [文章编号] 1674-0742（2016）02（a）-0088-02 　　Effect Analysis of Clinical Process of Geriatric Hip Fracture Treatment 　　QU Zhen-tao， LI Shi-sheng， ZHANG Shu-dong 　　Department of Joint trauma， Laixi People s Hospital， Qingdao， Shandong Province， 266600 China 　　[Abstract] Objective To analyze and discuss the clinical process effect of geriatric hip fracture treatment. Methods 80 cases of patients with geriatric hip fracture treated in our hospital from May 2011 to May 2015 were extracted as the research object and divided into the two groups according to the different clinical management measures， 35 cases of patients without clinical process management from May 2011 to May 2013 were regarded as the control group， 45 cases of patients with clinical process management from June 2013 to May 2015 were regarded as the observation group， the occurrence of complications， case fatality rate and length of stay of the two group were respectively observed. Results After 1 year of hospitalization， the case fatality rate and incidence of complications were respectively 8.9% and 15.5% in the experimental group and 20% and 31.4% in the control group， the differences between groups were obvious （P0.05）with statistically significance. Conclusion The clinical process of geriatric hip fracture treatment has an obvious treatment effect during use， which is worthy of application and promotion in the future clinical treatment. 　　[Key words] Hip fracture； Clinical process； Effect 　　老年人群受到自身因素和其他外界因素的影响容易诱发髋部骨折的现象，其疾病发生率呈现出上升趋势，手术是目前临床治疗活动中常用的治疗方法[1-2]。为了进一步分析和探讨老年髋部骨折治疗的临