多学科医护合作模式与传统模式治疗老年股骨转子间骨折的疗效比较  

Comparison of multidisciplinary physician/nurse collaboration versus conventional care modes in treatment of intertrochanteric fracture in the elderly

作　　者：宋朝晖[1] 李玉佳[1,2] 王庆贤[1,2] 段士潮 王凯[1,2] 刘明昊[1,2] 张英泽[1,2] 

机构地区：[1]河北医科大学第三医院创伤急救中心、老年骨科,石家庄050051 [2]河北省生物力学重点实验室 河北省骨科研究所

出　　处：《中华创伤杂志》2014年第6期569-573,共5页Chinese Journal of Trauma

基　　金：国家科技支撑计划资助项目（2011BAF01805）

摘　　要：目的探讨多学科医护合作模式对老年股骨转子间骨折患者诊疗的效果。方法回顾性分析2011年8月-2013年9月我院收治的老年股骨转子间骨折患者资料，将采用传统创伤骨科模式诊疗的136例患者设为传统模式组，采用多学科医护合作模式诊疗的297例患者设为合作模式组，比较两组患者住院时间、手术率、入院至手术时间和并发症等差异。结果传统模式组住院时间为（16．0±4．7）d，合作模式组住院时间为（14．8±5．9）d（t=0．433，P〉0．05）。传统模式组手术率为72．8％，合作模式组为83．9％（x^2=7，212，P〈0．05）。入院至手术时间传统模式组为（6．9±3．4）d，合作模式组为（5．6±2．9）d（t=3．096，P〈0．05）。合作模式组围术期并发症发生率显著降低（P〈0．05）。结论多学科医护合作模式是治疗老年股骨转子间骨折的一种新兴诊疗模式，可提高手术率，减少围术期并发症，促进患者早期康复。Objective To investigate the effect of muhidisciplinary physician/nurse collaboration care mode in diagnosis and treatment of elderly patients with intertrochanteric fracture. Methods Clinical data of 433 elderly patients with intertrochanteric fracture treated from August 2011 to September 2013 were studied retrospectively. Among them, 136 were diagnosed and treated using conventional meth- ods （control group） and 297 using the multidisciplinary physician/nurse collaboration approach （collaboration group）. Hospital stay, surgery rate, time from hospitalization and operation, and complications were compared between the two groups. Results Length of hospital stay [ （ 14.8 ± 5.9 ） d ] in collaboration group was not statistically different from that in control group [ （ 16.0 ± 4.7） d, t = 0. 433, P 〉 0. 05 ], but surgery rate was improved （72. 8 % vs 83.9 %, ,x^2 = 7.212, P 〈 0.05 ）, time from hospitalization and operation shortened [ （5.6 ± 2.9 ） d vs （6.9 ± 3.4） d, t = 3. 096, P 〈 0.05 ], and perioperative complication rate reduced in collaboration group compared to control group （ all P 〈 0.05 ）. Conclusion Multidisciplinary physician/nurse collaboration mode is a novel method for diagnosis and treat- ment of intertrochanteric fracture in the elderly and is associated with improved surgery rate, reduced perioperative complications and early functional recovery.

关 键 词：股骨骨折 老年人 治疗结果 多学科 

分 类 号：R687.3[医药卫生—骨科学]