创伤中心联合多学科协作模式在老年髋部骨折治疗中的应用  

Application of Trauma Center Combined with Multi-disciplinary Treatment Model in the Treatment of Elderly Hip Fractures

作　　者：吴任涛[1] 朱顺 李杨芳 孙景福[1] 李金庭[1] 谢伟山[1] WU Rentao;ZHU Shun;LI Yangfang;SUN Jingfu;LI Jinting;XIE Weishan(Houjie Hospital of Dongguan,Dongguan 523945,China;不详)

机构地区：[1]东莞市厚街医院,广东东莞523945

出　　处：《中外医学研究》2023年第29期177-180,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：东莞市社会发展科技项目(20211800902462)。

摘　　要：目的:探讨创伤中心联合多学科协作(MDT)模式在老年髋部骨折(HF)患者中的应用价值。方法:回顾性选取2020年7月—2021年12月在东莞市厚街医院采用创伤中心联合MDT模式治疗的56例老年HF患者为观察组,另选取2019年1月—2020年6月于本院采用传统医疗模式治疗的44例老年HF患者为对照组,两组术后均随访12个月。比较分析两组围手术期指标、髋关节功能、日常生活活动能力、并发症发生情况、髋部再骨折发生情况。结果:观察组入院至手术时间、术后初次下床时间及骨折愈合时间早于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。术前,两组Harris髋关节功能评分、日常生活活动能力量表(ADL)评分比较,差异无统计学意义(P>0.05);术后12个月,观察组Harris髋关节功能评分、ADL评分高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。术后随访12个月,两组均未出现髋部再骨折。结论:创伤中心联合MDT模式可有效缩短老年HF患者入院至手术时间,减少并发症的发生,促进其术后早期下床,缩短住院时间及骨折愈合时间,帮助患者术后髋关节功能恢复,提高日常生活活动能力,且基本不会发生髋部再骨折。Objective:To explore the application value of the trauma center combined with multi-disciplinary treatment(MDT)model in elderly patients with hip fracture(HF).Method:A total of 56 elderly HF patients treated by trauma center combined with MDT model in Houjie Hospital of Dongguan from July 2020 to December 2021 were retrospectively selected as the observation group,and 44 elderly HF patients treated by traditional medical model in Houjie Hospital of Dongguan from January 2019 to June 2020 were selected as the control group.Both groups were followed up for 12 months after surgery.Perioperative indexes,hip joint function,activities of daily living,complications and recurrence of hip fracture were compared between the two groups.Result:The time from admission to operation,the first time of getting out of bed and the time of fracture healing in the observation group were earlier than those in the control group,and the time of hospitalization was shorter than that in the control group,the differences were statistically significant(P<0.05).Before surgery,there were no significant differences in Harris hip joint function scale score and activities of daily living(ADL)score between the two groups(P>0.05).At 12 months after surgery,Harris hip joint function score and ADL score in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).After 12 months of follow up,there was no hip fracture occurred in both groups.Conclusion:The trauma center combined with MDT model can effectively shorten the time from admission to operation in elderly HF patients,reduce the occurrence of complications,promote their early postoperative getting out of bed,shorten the hospital stay and fracture healing time,help patients recover hip joint function after surgery,improve the ability of daily living activities,

关 键 词：老年 髋部骨折 创伤中心 多学科协作 髋关节功能 日常生活活动能力 并发症 

分 类 号：R683[医药卫生—骨科学]