多学科协作诊疗模式在老年椎体骨质疏松性骨折患者中的应用效果观察

Application Effect Observation of Multidisciplinary Team Mode in Elderly Patients with Osteoporotic Vertebral Fractures

目的:探讨多学科协作诊疗模式(MDT)在老年椎体骨质疏松性骨折患者中的应用效果。方法:选取2019年10月-2020年12月郴州市第三人民医院收治的110例老年椎体骨质疏松性骨折患者作为研究对象,以随机数表法分为对照组和观察组,各55例。对照组行常规治疗,观察组实施MDT。比较两组治疗效果。结果:观察组手术时间、住院时间、术中出血量、输血量均优于对照组,差异有统计学意义(P<0.05)。术前,两组VAS、ODI评分比较,差异无统计学意义(P>0.05);术后6、12个月,两组VAS、ODI评分均低于术前,且观察组均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:MDT模式在老年椎体骨质疏松性骨折患者中的应用效果较好,能有效减轻疼痛,促进腰椎功能恢复,降低不良反应发生率,值得应用并予以推广。

Objective:To explore the application effect of multidisciplinary team(MDT)in elderly patients with osteoporotic vertebral fractures.Methods:A total of 110 elderly patients with osteoporotic vertebral fractures admitted to the Third People's Hospital of Chenzhou from October 2019 to December 2020 were selected as the research objects,and they were divided into control group and observation group according to random number table method,with 55 cases in each group.The control group received conventional treatment,and the observation group received MDT.The treatment effects were compared between the two groups.Results:The operation time,hospitalization time,intraoperative blood loss and blood transfusion volume in observation group were better than those in control group,and the difference was statistically significant(P<0.05).There was no significant difference in VAS and ODI scores between two groups before surgery(P>0.05);at 6 and 12 months after surgery,the VAS and ODI scores in both groups were lower than those before surgery,and the scores in observation group were lower than those in control group,the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application effect of MDT mode in elderly patients with osteoporotic vertebral fractures,it can effectively alleviate pain,promote the recovery of lumbar function,reduce the incidence of adverse reaction,and it is worthy of clinical promotion and use.