多学科协作模式对老年髋部骨折患者术后应激性高血糖的影响  

Effect of multidisciplinary cooperation mode on stress hyperglycemia in elderly patients with hip fracture after operation

作　　者：孙玉梅[1] 刘粤[2] 杨晨 张敏洁 SUN Yu-mei;LIU Yue;YANG Chen;ZHANG Min-jie(Shanghai Pudong New Area Gongli Hospital,Shanghai 200135,China;Department of Orthopedics,Shanghai Pudong New Area Gongli Hospital,Shanghai 200135,China)

机构地区：[1]上海市浦东新区公利医院普外科,上海200135 [2]上海市浦东新区公利医院骨科,上海200135

出　　处：《医药论坛杂志》2023年第10期1-4,共4页Journal of Medical Forum

基　　金：上海市卫生健康委员会科研课题(202040171);浦东新区卫生健康委员会卫生计生科研项目(PW2020A-28)。

摘　　要：目的探讨多学科协作模式对老年髋部骨折患者术后应激性高血糖的影响。方法选取2018年5月—2021年8月上海市浦东新区公利医院收治的100例髋部骨折术后并发应激性高血糖的老年患者为研究对象,依据随机数表法分为观察组与对照组,每组各50例。观察组患者采用多学科协作医护诊疗模式治疗,对照组患者进行常规诊疗,随访3个月。分析并比较两组患者临床指标(手术时间、下床活动时间及住院时间),治疗前后血糖水平,生活质量评分,治疗效果及并发症情况。结果两组患者手术时间无明显差异(P>0.05),观察组患者下床活动时间、住院时间均明显短于对照组(P<0.05);治疗前两组血糖水平无明显差异(P>0.05),治疗后观察组患者的血糖水平明显低于对照组(P<0.05);治疗后观察组患者的生活质量SF-36评分中总体健康、躯体职能、生命活力、机体疼痛、健康状况、躯体功能及心理健康等条目评分均明显高于对照组(P<0.05);观察组患者的临床有效率为94.00%,明显高于对照组的80.00%(P<0.05);观察组出现2例并发症,发病率为4.00%,对照组出现8例并发症,发病率为16.00%,观察组并发症发病率明显低于对照组(P<0.05)。结论多学科协作模式有助于降低老年髋部骨折患者术后血糖水平,改善生活质量,缩短住院时间,促进患者康复,值得推广及应用。Objective To investigate the effect of multidisciplinary cooperation mode on stress hyperglycemia in elderly patients with hip fracture after operation.Methods Totally 100 elderly patients with stress hyperglycemia after hip fracture surgery in our hospital from May 2018 to August 2021 were selected as the research objects,and were randomly divided into the observation group and the control group according to the method of random number table,with 50 cases in each group.The patients in the observation group were treated with multidisciplinary cooperative medical care diagnosis and treatment mode,while the patients in the control group were treated with routine diagnosis and treatment,and all patients were followed up for 3 months.The clinical indicators(operation time,out of bed activity time and hospitalization time),blood glucose level before and after treatment,quality of life score,treatment effect and complications of the two groups were analyzed and compared.ResultsThere was no significant difference in the operation time between the two groups(P>0.05).The time of getting out of bed and hospitalization in the observation group were significantly shorter than those of the control group(P<0.05);there was no significant difference in blood glucose level between the two groups before treatment(P>0.05),but the blood glucose level in the observation group was significantly lower than that of the control group after treatment(P<0.05);After treatment,the SF-36 scores of quality of life in the observation group were significantly higher than those of the control group(P<0.05);the clinical effective rate of the observation group was 94.00%,which was significantly higher than that of the control group 80.00%(P<0.05);there were 2 complications in the observation group,the incidence rate was 4.00%,and 8 complications in the control group,the incidence rate was 16.00%.The incidence rate of complications in the observation group was significantly lower than that of the control group(P<0.05).Conclusion The multidisciplinar

关 键 词：多学科医护协作 老年 髋部骨折 应激性高血糖 

分 类 号：R687.3[医药卫生—骨科学]