摘要
目的探讨多学科综合治疗(MDT)应用于老年髋部不稳定骨折的临床疗效。方法收集2012年1月至2017年1月我科治疗的老年髋部不稳定骨折病人182例,分为MDT组和传统治疗组(对照组),其中MDT组90例,对照组92例。所有病人随访1. 5～3年,参照Harris评分对2组疗效进行比较分析,同时比较2组的手术率、并发症发生率及病人1年内死亡率。结果 MDT组病人入院后1、4、12、72周及末次随访髋关节Harris评分均高于对照组; MDT组的手术率为88. 9%(80/90),明显高于对照组的59. 8%(55/92); MDT组的并发症发生率为26. 7%(24/90),明显低于对照组的80. 4%(74/92); MDT组的1年内死亡率(11. 1%)明显低于对照组(31. 5%)。结论 MDT治疗可提高老年髋部不稳定骨折病人的临床疗效、手术率,并降低其并发症的发生率及1年内的死亡率,疗效肯定,值得临床推广应用。
Objective To investigate the clinical efficacy of multidisciplinary treatment( MDT) on unstable hip fracture in the elderly. Methods The clinical data of 182 elderly patients with unstable hip fracture treated in our department from January 2012 to January 2017 were collected. The patients were divided into MDT group( n = 90) and control group( n = 92). All cases were followed up for 1. 5-3 years. According to the Harris score,the efficacy of the two groups were compared and analyzed. At the same time,the operation rate,the incidence rate of complications,and the patients' mortality rate were compared between the two groups. Results In MDT group,the Harris scores 1,4,12,72 weeks after hospitalization and at the last follow-up were higher than those in control group; The operation rate in MDT group was 88. 9%( 80/90),which was significantly higher than that of the control group( 59. 8%,55/92). The incidence rate of complications in MDT group was 26. 7%( 24/90),which was significantly lower than that in control group( 80. 4%,74/92). The mortality rate in MDT group within one year was11. 1%,which was significantly lower than that in control group( 31. 5%). Conclusions MDT can improve the clinical curative effect and operation rate of elderly patients with unstable hip fracture,and reduce the incidence of complications and the mortality rate within one year.
出处
《实用老年医学》
CAS
2018年第12期1150-1153,共4页
Practical Geriatrics
