新冠肺炎疫情下骨科与急诊外科联合管理治疗老年椎体压缩性骨折的效果

摘要
图/表
参考文献(15)
相关文章 (15)

全文: PDF (0 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨新冠肺炎疫情下骨科与急诊外科联合管理治疗老年椎体压缩性骨折的手术效果及安全性。方法回顾性分析2020年3～4月采用骨科与急诊外科联合管理的30例老年椎体压缩性骨折患者临床资料作为联合组，纳入既往非疫情期间30例老年椎体压缩性骨折患者作为对照组。记录两组术前等待时间、住院时间、手术时长、骨水泥注入量、术后视觉模拟量表（VAS）评分、术后Cobb角，并观察术后并发症发生情况。结果无医护人员感染新冠肺炎，未发生院内感染；联合组术前等待时间短于对照组，差异有统计学意义（P＜0.05）；两组住院时间、手术时长、骨水泥注入量、术后VAS评分、术后Cobb角、术后并发症总发生率比较，差异无统计学意义（P＞0.05）。结论新冠肺炎疫情下，实施骨科与急诊外科联合管理治疗老年椎体压缩性骨折，多学科协作，可以保证防疫措施落实到位，同时可缩短术前等待时间，提高诊疗效率。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	陈祥
	王华
	昌宏
	许华亮
	黄旭胜
	陈礼颜
	宋炎成

关键词 ：新冠肺炎, 老年患者, 椎体压缩性骨折, 联合管理, 多科协作

Abstract：Objective To investigate the surgical effect and safety of combined management of orthopedics and emergency surgery in the treatment of elderly vertebral compression fractures under the COVID-19 pandemic.Methods A retrospective analysis of the clinical data of 30 elderly patients with vertebral compression fractures under the joint management of orthopedics and emergency surgery from March to April 2020 was conducted and selected as a joint group.Another batch of 30 elderly patients with vertebral compression during the non-epidemic period was classified as a control group.The preoperative waiting time,hospital stay,operation duration,bone cement injection volume,postoperative visual analogue scale (VAS) score,postoperative Cobb angle were recorded in the two groups,and the occurrence of postoperative complications was observed.Results No medical staff was infected with COVID-19,and no hospital infection occurred.The preoperative waiting time of the joint group was shorter than that of the control group,and the difference was statistically significant (P＜0.05).The hospital stay,operative duration,bone cement injection volume,postoperative VAS score,postoperative Cobb angle,and total postoperative complications rate were not significantly different between the groups (P＞0.05).Conclusion Under the COVID-19 pandemic,the joint management of orthopedics and emergency surgery for the treatment of elderly vertebral compression fractures in multidisciplinary collaborations can reduce the waiting time before surgery and increase the efficiency of diagnosis and treatment at premise of fully implementing anti-epidemic measures.

Key words： COVID-19 Elderly patients Vertebral compression fractures Joint management Multidisciplinary collaborations

引用本文:

陈祥；王华；昌宏；许华亮；黄旭胜；陈礼颜；宋炎成. 新冠肺炎疫情下骨科与急诊外科联合管理治疗老年椎体压缩性骨折的效果[J]. 中国当代医药, 2020, 27(35): 132-135.
CHEN Xiang；WANG Hua；CHANG Hong；XU Hua-liang ；HUANG Xu-sheng； CHEN Li-yan； SONG Yan-cheng. Effect of combined management of orthopedics and emergency surgery in the treatment of elderly vertebral compression fractures under the COVID-19 pandemic. 中国当代医药, 2020, 27(35): 132-135.

链接本文:

https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2020/V27/I35/132

[1]	Zhu N，Zhang D，Wang W，et al.A Novel Coronavirus from Patients with Pneumonia in China，2019[J].N Engl J Med，2020，382（8）：727-733.
[2]	Eurosurveillance Editorial T.Note from the editors：World Health Organization declares novel coronavirus（2019-nCoV）sixth public health emergency of international concern[J].Euro Surveill，2020，25（5）：200131e.
[3]	Rothan HA，Byrareddy SN.The epidemiology and pathogenesis of coronavirus disease （COVID-19） outbreak[J].J Autoimmun，2020：102433.
[4]	Adhikari SP，Meng S，Wu Y，et al.Epidemiology，causes，clinical manifestation and diagnosis，prevention and control of coronavirus disease （COVID-19）during the early outbreak period：a scoping review[J].Infect Dis of Poverty，2020，9（1）：29.
[5]	谢辉，陈浩鹏，王本杰，等.骨水泥弥散分布类型对不同部位骨质疏松性椎体压缩骨折治疗效果的影响[J].中国组织工程研究，2020，24（28）：4505-4510.
[6]	新型冠状病毒肺炎诊疗方案（试行第六版）[J].中国感染控制杂志，2020，19（2）：192-195.
[7]	Jin YH，Cai L，Cheng ZS，et al.A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus（2019-nCoV） infected pneumonia （standard version）[J].Mil Med Res，2020，7（1）：4.
[8]	Ahn D，Shin H，Kim M，et al.Current Status of Epidemiology，Diagnosis，Therapeutics，and Vaccines for Novel Coronavirus Disease 2019 （COVID-19）[J].J Microbiol Biotechnol，2020，30（3）：313-324.
[9]	吴巍，关邯峰，方忠，等.新型冠状病毒肺炎疫情期骨科诊疗的规范化流程建议[J].骨科，2020，11（2）：93-99.
[11]	印平，马远征，马迅，等.骨质疏松性椎体压缩性骨折的治疗指南[J].中国骨质疏松杂志，2015，21（6）：643-648.
[12]	韩济生，樊碧发，李荣春，等.新型冠状病毒肺炎临床防控疼痛科专家共识[J].中国疼痛医学杂志，2020，26（4）：241-245.
[10]	Park JW，Park J，Jeon HJ，et al.Kümmell′s disease treated with percutaneous vertebroplasty：minimum 1 year followup[J].Korean J Neurotrauma，2017，13（2）：119-123.
[13]	李春辉，黄勋，蔡虻，等.新冠肺炎疫情期间医疗机构不同区域工作岗位个人防护专家共识[J].中国感染控制杂志，2020，19（3）：199-213.
[14]	李六亿，吴安华.新型冠状病毒医院感染防控常见困惑探讨[J].中国感染控制杂志，2020，19（2）：105-108.
[15]	张耀申，海涌，张强，等.新型冠状病毒肺炎疫情下骨科手术防护策略[J].中国矫形外科杂志，2020，28（4）：289-292.