多学科团队合作应用加速康复外科技术治疗老年患者髋部骨折

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Abstract Objective To explore the clinical effect of multidisciplinary teamwork in the application of enhanced recevery after surgery in the treatment of hip fractures in elderly patients.Methods 100 patients with femoral intertrochanteric fracture treated in Datong Fifth People's Hospital from August 2019 to December 2020 were randomly divided into control group (50 cases)and study group (50 cases).There were 21 males and 29 females in the control group.The average age was (73.0±10.7)years (range，70~87 years).27 left fracture and 23 right fracture were included.There were 30 cases of stable type EvansⅠ，15 cases of unstable type EvansⅠand 5 cases of type EvansⅡ.There were 19 males and 31 females in ERAS group.The average age was (75.0±11.2)years (range，70~89 years).There were 21 cases on the left and 29 cases on the right.There were 33 cases of stable type EvansⅠ，13 cases of unstable type EvansⅠ，and 4 cases of type EvansⅡ.Multidisciplinary teamwork ERAS treatment process and traditional conventional treatment process were used respectively.The preoperative waiting time，average hospital stay，hospitalization cost and visual analogue scale(VAS)，inpatient satisfaction score，incidence of complications and the hip Harris scores.Results The preoperative hospital stay，average hospital stay，hospitalization expenses and the incidence of postoperative complications in ERAS group were lower than those in the control group.The satisfaction score and the hip Harris scores of postoperative in ERAS group were higher than those in the control group (P＜0.001).The VAS score of pain in ERAS group was significantly lower than that in control group on the first day after operation (P＜0.05)，but there was no significant difference between the two groups before operation and on the fifth day(P＞0.05).Conclusion The application of multi-disciplinary teamwork assisted enhanced recovery after surgery in the treatment of hip fractures in elderly patients can significantly improve the medical quality and satisfaction of patients，reduce the occurrence of complications and reduce the treatment cost.

Key words： hip fractures enhanced recovery after surgery multidisciplinary teamwork

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	Articles by authors
	Yu Hongwei
	Zhang Jinhua
	Lin Tao
	Pang Zhe

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Yu Hongwei,Zhang Jinhua,Lin Tao, et al. pplication of Multidisciplinary Teamwork Combined with Enhanced Recovery after Surgery in the Treatment of Hip Fractures in Elderly Patients[J]. sygkzz, 2022, 28(8): 702-705.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2022/V28/I8/702

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