多学科综合治疗老年股骨颈骨折合并慢性肾功能衰竭的临床观察

doi:10.3969/j.issn.1003-9198.2022.02.008

Abstract

Abstract: Objective To explore the clinical effect of multidisciplinary treatment (MDT) in the elderly patients with femoral neck fracture complicated with chronic renal failure. Methods A total of 44 elderly patients with femoral neck fracture complicated with chronic renal failure treated in the Second Affiliated Hospital of Nanjing Medical University from February 2017 to December 2020 were randomly divided into two groups: the MDT group (n=24) and the traditional treatment group (n=20). The curative effect was evaluated by Harris score. The curative effect, the waiting time before operation, the total hospital stay, the incidence rate of early and medium-term complications of fracture and the incidence rate of deterioration of renal function were recorded and compared between the MDT group and the traditional treatment group. Results All the patients were followed up to June 2021. The operation rate of the MDT group was significantly higher than that of the traditional treatment group (83.3% vs. 30.0%, P＜0.05);The preoperative waiting time and the total hospitalization days in the MDT group were significantly shorter than those in the traditional treatment group (P＜0.05);The Harris hip score in the MDT group was higher than that in the traditional treatment group 6 months after operation (P＜0.05);After operation,The incidence rate of deterioration of renal function after operation and the incidence rate of early and medium-term complications of fractures in the MDT group were significantly lower than those in the traditional treatment group (P＜0.05). Conclusions MDT mode is helpful to increase the operation rate and improve the clinical effect of the elderly patients with femoral neck fracture complicated with chronic renal failure, which could reduce the incidence of early and medium-term complications of fracture and the deterioration of renal function after operation, and shorten the waiting time before operation and hospitalization time.

Key words: multidisciplinary treatment, femoral neck fracture, renal insufficiency, aged

CLC Number:

R 681.8

ZHENG Hong-rui, FAN Lei, HE Bin, QIN Hu, SHEN Ya-jun, WANG Yun-hua. Clinical observation of multidisciplinary treatment for femoral neck fracture complicated with chronic renal failure in the elderly[J]. Practical Geriatrics, 2022, 36(2): 138-141.

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Clinical observation of multidisciplinary treatment for femoral neck fracture complicated with chronic renal failure in the elderly

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