首页|多学科协助诊疗模式下运用股骨近端防旋髓内钉治疗老年性股骨粗隆间骨折的临床效果

多学科协助诊疗模式下运用股骨近端防旋髓内钉治疗老年性股骨粗隆间骨折的临床效果

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目的 探讨老年性股骨粗隆间骨折(IFF)患者采用多学科协助诊疗(MDT)模式下股骨近端防旋髓内钉(PF-NA)治疗的临床效果。方法 选取2022年2月至2023年2月阳江高新技术产业开发区人民医院收治的84例IFF患者作为研究对象,按照随机数字表法分为对照组(42例)与观察组(42例),对照组采用传统骨科诊疗模式干预,观察组采用MDT模式干预。比较两组患者的临床指标、髋关节功能、术后恢复效果及并发症。结果 观察组术前等待时间、住院时间、骨折愈合时间短于对照组,Harris评分及40项恢复质量评分量表(QoR-40)评分高于对照组,并发症总发生率低于对照组,差异有统计学意义(P<0。05)。结论 老年性IFF患者于MDT模式下采用PFNA治疗术前等待时间缩短、术后恢复快且髋关节功能恢复良好,能够减少并发症的发生,提高患者术后恢复效果。
Clinical effect of proximal femoral nail antirotation in the treatment of se-nile intertrochanteric fracture of femur in multidisciplinary treatment mode
Objective To investigate the clinical effect of proximal femoral nail antirotation(PFNA)in the treatment of se-nile intertrochanteric fracture of femur(IFF)by multidisciplinary treatment(MDT)mode.Methods A total of 84 IFF patients admitted to Yangjiang High-tech Industrial Development Zone People's Hospital from February 2022 to February 2023 were selected as research objects,and they were divided into control group(42 cases)and observation group(42 cases)according to random number table method.The control group was treated with traditional orthopedic treatment mode,and the observa-tion group was treated with MDT mode.The clinical indexes,hip function,postoperative recovery and complications were compared between the two groups.Results The preoperative waiting time,hospital stay and fracture healing time in the ob-servation group were shorter than those in the control group,the Harris score and quality of recovery-40(QoR-40)score were higher than those in the control group,and the total incidence of complications was lower than that in the control group,with statistical significances(P<0.05).Conclusion Senile IFF patients treated with PFNA under MDT mode have shorter preoperative waiting time,faster postoperative recovery and good hip function recovery,which can reduce the occurrence of complications and improve the postoperative recovery effect.

Senile intertrochanteric fracture of femurProximal femoral nail antirotationMultidisciplinary treatment modeHip joint functionComplication

徐志坚、关则健、陈爱眉

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广东省阳江高新技术产业开发区人民医院骨科,广 东阳江 529500

老年性股骨粗隆间骨折 股骨近端防旋髓内钉 多学科协助诊疗模式 髋关节功能 并发症

广东省阳江市医疗卫生类科技计划项目

89

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(7)
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