Eras联合绿色通道模式在高原地区手外伤患者中的应用研究
Application of Eras Combined with Green Channel Model in Patients with Hand Injury at High Altitude

目的：通过Eras联合绿色通道模式在高原地区手外伤患者中的应用，使手外伤患者得到及时的救治，手外伤患者的服务更加及时、高效、规范。方法：选择我科2024年12~2025年2月收住的100名手外伤患者作为研究对象。分为观察组和实验组。观察组：按传统的接诊模式：急诊接诊；收住入院；手术；术后给予患者围手术期护理和健康教育。实验组：手外伤采用绿色通道模式；一站式服务在急诊科包扎；止血；固定；建立静脉通路；急诊护士陪同完善术前所有检查；直接收住；完善术前准备；由病房值班医生第一时间进行手术治疗。整个过程注重人文关怀、保护隐私和知情同意。两者从：治疗效果、并发症、ADL评分、满意度四方面进行比较。结果：实验组患者从：治疗效果、并发症、ADL评分、满意度四方面均比观察组明显提高。结论：Eras联合绿色通道模式的应用明显降低了患者术前焦虑；术后疼痛程度；缩短了住院时间；提高了预后质量；保障了患者安全；提高了患者的就医感受；提高了满意度。
Through the application of the Eras combined with the Green Channel model in high-altitude areas, hand trauma patients can receive timely treatment and receive more timely, efficient, and standardized services. Method: 100 hand injury patients admitted to our department from December 2024 to February 2025 were selected as the research subjects. Divided into observation group and experimental group. Observation group: According to the traditional reception mode: emergency reception, admission, surgery, postoperative perioperative care and health education for patients. Experimental group: Hand injuries are treated using a green channel mode, with one-stop services provided in the emergency department for bandaging, hemostasis, fixation, and establishment of venous access. Emergency nurses accompany and complete all preoperative examinations, directly collect and prepare for surgery. The on duty doctors in the ward perform surgical treatment in a timely manner, with a focus on humanistic care, privacy protection, and informed consent throughout the entire process. The two were compared from four aspects: treatment effect, complications, ADL score, and satisfaction. Result: The experimental group showed significant improvements in treatment efficacy, complications, ADL scores, and satisfaction compared to the observation group. Conclusion: The application of Eras combined with green channel mode significantly reduces preoperative anxiety in patients; postoperative pain level; shortened hospitalization time; improved the quality of prognosis; ensuring patient safety; improved patients’ medical experience; improved satisfaction.