老年骨质疏松性椎骨压缩性骨折联络服务  

Fracture liaison services for osteoporotic vertebral compression fractures in the elderly

作　　者：谭小翠[1] 屠海霞[1] 张兴 李大鹏[1] 范宏娟 朱正美[1] 于伟娜 陈燕 TAN Xiao-cui;TU Hai-xia;ZHANG Xing;LI Da-peng;FAN Hong-juan;ZHU Zheng-mei;YU Wei-na;CHEN Yan(Department of Spinal Surgery,Affiliated Hospital,Jingsu Unitersity,Zhenjiang 212001,China;Zhenjiang 359 Hospital,Zhenjiang 212001,China)

机构地区：[1]江苏大学附属医院脊柱外科,江苏镇江212001 [2]镇江三五九医院,江苏镇江212001

出　　处：《中国矫形外科杂志》2022年第22期2104-2106,共3页Orthopedic Journal of China

基　　金：中国博士后科学基金面上资助课题项目(编号:2018M632370)。

摘　　要：[目的]探讨骨折联络服务(fracture liaison service,FLS)对于老年骨质疏松性椎骨压缩性骨折(osteoporotic vertebral compression fracture,OVCF)的价值。[方法]2021年3月—2021年11月接受经皮后凸成形术(percutaneous kyphoplasty,PKP)的66例老年OVCF患者随机分为两组,常规组33例,FLS组33例。FLS组在常规组的基础上实施FLS。比较两组住院期间及随访结果。[结果]FLS组住院时间、住院费用、患者满意度均显著优于常规组(P<0.05)。随时间推移,两组患者VAS和EFS评分均显著减少(P<0.05),而SF-36评分均显著增加(P<0.05)。出院时和出院后6个月,FLS组上述评分均显著优于常规组(P<0.05)。两组再骨折发生率的差异无统计学意义(P>0.05)。[结论]骨折联络服务能够减少患者住院时间和住院费用,减轻疼痛和衰弱程度,提高患者生活质量和满意度。[Objective]To investigate the value of fracture liaison service(FLS)for osteoporotic vertebral compression fracture(OVCF)in the elderly.[Methods]A total of 66 elderly patients who received percutaneous kyphoplasty(PKP)for OVCF from March 2021 to November 2021 were randomly divided into conventional group(n=33)and FLS group(n=33),the latter was added FLS treatment on the basis of the conventional group.The results of hospitalization and follow-up were compared between the two groups.[Results]The FLS group proved significantly superior to the conventional group in terms of hospital stay,hospitalization cost and patient satisfaction(P<0.05).The VAS and EFS scores decreased significantly(P<0.05),while SF-36 scores significantly increased over time in both groups(P<0.05).At discharge and 6 months after discharge,the FLS group was significantly better than the conventional group in abovesaid scores(P<0.05).However,there was no significant difference in the incidence of refracture between the two groups(P>0.05).[Conclusion]Fracture liaison service does reduce hospital stay and hospitalization costs,relieve the pain and frailty,and improve the quality of life and satisfaction of the patients.

关 键 词：骨质疏松性椎骨压缩性骨折 老年人 骨折联络服务 

分 类 号：R683.2[医药卫生—骨科学]