基于多学科诊疗协作模式的综合干预措施在布鲁氏菌性脊柱炎患者中的应用效果

Application effect of comprehensive intervention measures based on multidisciplinary diagnostic and treatment collaboration model in patients with brucella spondylitis

目的分析基于多学科诊疗协作模式的综合干预措施在布鲁氏菌性脊柱炎患者中的应用效果。方法选取2022年1月至2023年1月山西省汾阳医院收治的86例接受手术治疗的布鲁氏菌性脊柱炎患者,采用随机数字表法将其分为对照组和试验组,各43例。对照组给予常规干预,试验组在此基础上给予基于多学科诊疗协作模式的综合干预。比较两组干预前后的心理状况,术前和术后1、3、5 d的疼痛程度,术前和术后1、3个月的脊柱生理功能情况。结果干预后,两组焦虑、抑郁评分低于干预前,且试验组低于对照组,差异有统计学意义(P<0.05)。整体分析结果显示,两组术后1、3、5 d视觉模拟评分法(VAS)评分低于术前,且试验组术后1、3、5 d VAS评分低于对照组,差异有统计学意义(P<0.05)。两组术后1、3个月Oswestry功能障碍指数(ODI)评分低于术前,两组术后3个月ODI评分低于术后1个月,且试验组术后1、3个月的ODI评分低于对照组,差异有统计学意义(P<0.05)。结论基于多学科诊疗协作模式的综合干预措施应用于布鲁氏菌性脊柱炎患者中具有较好的效果。

Objective To analyze the application effect of comprehensive intervention measures based on multidisciplinary diagnostic and treatment collaboration model in patients with brucella spondylitis.Methods A total of 86 patients with brucella spondylitis who received surgical treatment in Fenyang Hospital of Shanxi Province from January 2022 to January 2023 were selected,they were divided into control group and experimental group by random number table method,with 43 cases in each group.The control group was given routine intervention measures,and the experimental group was given comprehensive intervention measures based on the multidisciplinary diagnosis and treatment collaboration model.The psychological status of the two groups before and after intervention,the degree of pain before and 1,3 and 5 days after surgery,and the physiological function of the spine before and 1 and 3 months after surgery were compared.Results After intervention,the anxiety and depression scores of the two groups were lower than before intervention,and those in experimental group were lower than those in control group,and the differences were statistically significant(P<0.05).The overall analysis results showed that the visual analog scale(VAS)scores of the two groups at 1,3 and 5 days after surgery were lower than before surgery,and VAS scores of experimental group at 1,3 and 5 days after surgery were lower than those of control group,and the differences were statistically significant(P<0.05).The Oswestry disability index(ODI)scores at 1 and 3 months after surgery were lower than before surgery,the ODI scores at 3 months after surgery were lower than those at 1 month after surgery,and the ODI scores at 1 and 3 months after surgery of the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The comprehensive intervention measures based on the multidisciplinary diagnosis and treatment collaboration model have good effects in brucella spondylitis patients.