老年骨质疏松性椎骨压缩性骨折联络服务△

Fracture liaison services for osteoporotic vertebral compression fractures in the elderly

摘要:

［目的］ 探讨骨折联络服务 （fracture liaison service, FLS） 对于老年骨质疏松性椎骨压缩性骨折 （osteoporotic verte- bral compression fracture, OVCF） 的价值。［方法］ 2021 年 3 月—2021 年 11 月接受经皮后凸成形术 （percutaneous kyphoplasty, PKP）的 66 例老年 OVCF 患者随机分为两组，常规组 33 例，FLS 组 33 例。FLS 组在常规组的基础上实施 FLS。比较两组住院期间及随访结果。［结果］FLS 组住院时间、住院费用、患者满意度均显著优于常规组（P<0.05）。随时间推移，两组患者 VAS 和 EFS 评分均显著减少（P<0.05），而 SF-36 评分均显著增加（P<0.05）。出院时和出院后 6 个月，FLS 组上述评分均显著优于常规组 （P<0.05）。两组再骨折发生率的差异无统计学意义 （P>0.05）。［结论］ 骨折联络服务能够减少患者住院时间和住院费用，减轻疼痛和衰弱程度，提高患者生活质量和满意度。

Abstract:

[Objective] To investigate the value of fracture liaison service (FLS) for osteoporotic vertebral compression fracture (OVCF) in the elderly. [Methods] A total of 66 elderly patients who received percutaneous kyphoplasty (PKP) for OVCF from March 2021 to Novem- ber 2021 were randomly divided into conventional group (n=33) and FLS group (n=33) , the latter was added FLS treatment on the basis of the conventional group. The results of hospitalization and follow- up were compared between the two groups. [Results] The FLS group proved significantly superior to the conventional group in terms of hospital stay, hospitalization cost and patient satisfaction (P<0.05) . The VAS and EFS scores decreased significantly (P<0.05) , while SF-36 scores significantly increased over time in both groups (P<0.05) . At discharge and 6 months after discharge, the FLS group was significantly better than the conventional group in abovesaid scores (P<0.05) . However, there was no significant difference in the incidence of refracture between the two groups (P>0.05) . [Conclusion] Fracture liaison service does reduce hospital stay and hospitalization costs, relieve the pain and frailty, and improve the quality of life and satisfaction of the patients.