骨科主导的多学科共管模式治疗老年股骨颈及股骨转子间骨折患者的效果分析
Effect Analysis of Orthopedic Led Multidisciplinary Condominium Model in the Treatment of Elderly Patients with Femoral Neck and Femoral Intertrochanteric Fracture
洪亚栋 1屈建国1
作者信息
- 1. 内蒙古自治区包头市第四医院创伤运动医学科,内蒙古 包头 014030
- 折叠
摘要
目的:探讨骨科主导的多学科共管模式在老年股骨颈及股骨转子间骨折患者治疗中的效果.方法:选取 2019年 3月—2023 年 3月内蒙古自治区包头市第四医院创伤运动医学科收治的 220例老年股骨颈及股骨转子间骨折患者为研究对象,按照随机数字表法将患者分为对照组(n=120)与试验组(n=100).对照组采用常规治疗,其中 20例采用保守治疗,100例采用手术治疗,试验组采用多学科共管模式治疗.比较两组的治疗方法、治疗时间及治疗结果.结果:试验组术前等待时间、手术时间及住院时间均短于对照组,差异均有统计学意义(P<0.05).试验组治愈率为85.00%,高于对照组的70.00%,褥疮发生率为 5.00%,低于对照组的 14.00%,差异均有统计学意义(P<0.05).试验组病死率为 3.00%,低于对照组的 5.00%,但差异无统计学意义(P>0.05).结论:老年股骨颈骨折及转子间骨折患者采用骨科主导的多学科共管模式,可对患者更快开展术前评估,减少患者术前等待及住院时间,降低不良反应发生率,整体效果更优.
Abstract
Objective:To explore the effect of multidisciplinary condominium model led by orthopedics in the treatment of elderly patients with femoral neck and femoral intertrochanteric fracture.Methods:A total of 220 elderly patients with femoral neck and femoral intertrochanteric fracture admitted to Department of Trauma and Sports Medicine in the Fourth Hospital of Baotou from March 2019 to March 2023 were selected as the study objects,and were divided into a control group(n=120)and an experimental group(n=100)according to random number table method.The control group received conventional treatment,which 20 cases received conservative treatment,100 cases received surgical treatment,and the experimental group received multidisciplinary condominicm mode of treatment.The treatment methods,treatment time and treatment results of the two groups were compared.Results:The preoperative waiting time,operation time and hospitalization time of experimental group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The cure rate of experimental group was 85.00%,which was higher than 70.00%of the control group,and the incidence of bedsore was 5.00%,which was lower than 14.00%of the control group,with statistical significance(P<0.05).The fatality rate of the experimental group was 3.00%,which was lower than 5.00%of the control group,but the difference was not statistically significant(P>0.05).Conclusion:In elderly patients with hip fracture,the multi-disciplinary co-management model led by orthopedics can carry out preoperative assessment faster,reduce the waiting time and hospital stay of patients before surgery,reduce the incidence of adverse reactions,and the overall effect is better.
关键词
老年髋骨骨折/骨科主导/多学科共管/老年患者/术前评估/手术治疗Key words
Elderly hip fracture/Orthopedic leading/Multidisciplinary condominicm/Elderly patients/Preoperative evaluation/Surgical treatment引用本文复制引用
基金项目
包头市卫生健康科技计划(wsjkkj058)
出版年
2024
国家科技期刊平台
NSTL
万方数据