多学科一体化骨折联络服务在骨质疏松椎体压缩性骨折术后再骨折预防中的应用  

Application of multidisciplinary integrated fracture liaison service in the prevention of postoperative refracture after osteoporotic vertebral compression fractures

作　　者：蔡璐璐 侍管 宋维维 Cai Lulu;Shi Guan;Song Weiwei(Department of Emergency,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属友谊医院急诊科,北京100050

出　　处：《中华现代护理杂志》2024年第28期3901-3907,共7页Chinese Journal of Modern Nursing

摘　　要：目的探讨多学科一体化骨折联络服务在预防骨质疏松椎体压缩性骨折(OVCF)术后再骨折中的应用效果。方法采用便利抽样法,选择2022年3月—2023年8月在首都医科大学附属友谊医院骨科住院的OVCF患者230例,采用随机数字表法分为对照组和观察组,各115例。对照组实施术后常规随访管理,观察组在对照组基础上实施多学科一体化骨折联络服务,干预周期均为1年。干预前后采用骨质疏松症知识问卷(OKT)、Oswestry功能障碍指数量表(ODI)、腰椎定量计算机断层照相术(QCT)评估两组骨质疏松知识水平、腰背功能和骨密度,随访1年后比较两组再次骨折发生率。结果干预期间共有7例患者中途脱落,最终收集对照组110例,观察组113例。干预后观察组OKT总分及各维度得分均高于对照组,差异有统计学意义(P<0.05)。干预后观察组ODI评分低于对照组,骨密度值高于对照组,差异有统计学意义(P<0.05)。对照组和观察组再次骨折发生率分别为20.91%(23/110)和7.96%(9/113),差异有统计学意义(P<0.05)。结论多学科一体化骨折联络服务可以有效提高OVCF术后患者骨质疏松知识水平和骨密度,改善腰背功能,减少再次骨折的发生。Objective To explore the application effect of multidisciplinary integrated fracture liaison services in preventing postoperative refracture after osteoporotic vertebral compression fractures(OvCF).Methods Using the convenient sampling method,a total of 230 OVCF patients who were admitted to Orthopedics Department of Beijing Friendship Hospital Affiliated to Capital Medical University from March 2022 to August 2023 were selected and they were randomly divided into the control group and the observation group by the random number table method,with 115 patients in each group.The control group received routine followup management after surgery,while the observation group received multidisciplinary integrated fracture liaison services on the basis of the control group,with an intervention period of 1 year for both groups.Before and after intervention,Osteoporosis Knowledge Tests(OKT),Oswestry disability index(ODI),and lumbar quantitative computed tomography(QCT)were used to evaluate the osteoporosis knowledge level,lumbar spine function and bone density of the two groups.After a one-year follow-up,the incidence of recurrent fractures was compared between the two groups.Results A total of 7 cases fell off during the intervention period,and 110 cases were collected in the control group and 113 cases in the observation group.After intervention,the total score of OKT and the scores of all dimensions in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the ODI score of the observation group was lower than that of the control group,and the bone density value was higher than that of the control group,and the differences were statistically significant(P<0.05).The incidence of recurrent fractures in the control group and observation group was respectively 20.91%(23/110)and 7.96%(9/113),and the difference was statistically significant(P<0.05).Conclusions Multidisciplinary integrated fracture liaison services can effectively improve the

关 键 词：骨质疏松 压缩性骨折 多学科协作 骨折联络服务 再骨折 经皮椎体成形术 

分 类 号：R580[医药卫生—内分泌] R687.3[医药卫生—内科学]