Application and effect evaluation of multidisciplinary collaboration in patients with tophi during perioperative period
10.3760/cma.j.cn141217-20211105-00449
- VernacularTitle:多学科融合在痛风石围术期患者中的应用及效果评价
- Author:
Yijun XU
1
;
Zhenyun LI
;
Changgui LI
;
Yuehai PAN
;
Tian LIU
;
Junhua FU
;
Zhen HAN
;
Ying CHEN
Author Information
1. 青岛大学附属医院内分泌与代谢性疾病科，青岛 266003
- Keywords:
Multi-disciplinary integration;
Tophaceous gout;
Perioperative period
- From:
Chinese Journal of Rheumatology
2022;26(5):329-333
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application and effect of multidisciplinary collaboration in patients with tophi during perioperative period.Methods:Forty-five patients undergoing tophaceous gout surgery in our hospital from May to October 2020 were selected as the control group and treated with routine treatment.From November 2020 to April 2021, 41 patients undergoing tophaceous gout surgery in our hospital who were treated with multidisciplinary collaboration management mode were included as the intervention group. Postoperative pain, blood uric acid level, hospitalization expenses, hospitalization days and patient satisfaction were compared between the two groups.Results:After implementing the multidisciplinary integration man-agement mode, the pain score of the patients at 4 hours, 1 day and 3 days after operation was lower than that of the control group [(3.6±1.0) vs (4.1±1.0), t=2.33, P=0.022; (2.5±0.8) vs (3.0±0.6), t=3.85, P<0.001; (1.8±0.5) vs (2.2±0.7), t=3.52, P<0.001], the serum uric acid level was significantly lower than that of the control group at 1 month and 3 months after operation [(355±58) vs (3928±39), t=3.50, P=0.001; (316±48) vs (366±47), t=4.84, P<0.001], the hospitalization days and hospitalization expenses were significantly decreased [(8.90±2.48) d vs (10.62±3.96) d, t=2.44, P=0.017; (1.00±0.13) ten thousand yuan vs (1.11±0.17) ten thousand yuan, t=3.34, P=0.001], and the patient satisfaction was markedly improved (97.6% vs 82.2%, χ2=3.87, P=0.049). Conclusion:The multi-disciplinary collaboration mode in patients with tophi during perioperative period can effectively reduce the postoperative pain, improve the quality of care, promote reha-bilitation, improve the outcome, and reduce the economic burden of patients, which is worthy of popularization and being applied in clinic.
