【摘要】 目的探讨健康管理对于骨质疏松和骨密度降低患者的临床意义。方法选取该院门诊2013年4月至2015年6月诊断为骨质疏松和骨密度降低患者340例,将其分成四组:骨质疏松健康管理组(A组,60例)、骨质疏松对照组(B组,61例)、骨密度降低健康管理组(C组,109例)及骨密度降低对照组(D组,110例)。对甲、丙组实施健康管理,其他两组仅进行常规管理。观察健康管理后各组患者临床缓解情况及并发症预防效果。结果通过健康管理,A组患者中63.0%骨密度低下者可转为正常。B组骨密度则表现为轻微下降,22.0%患者出现脆性骨折风险。C组患者发生骨折仅4例,发生率为3.7%,而D组则发生骨折18例,发生率为16.4%,两组骨折发生率比较,差异有统计学意义(P<0.05)。骨质疏松患者中,A组患者疼痛视觉评分(VAS)4~6分人数有明显下降,所占比例与B组比较,差异有统计学意义(P<0.05);骨密度降低患者中,C组患者VAS 4~6分人数也有明显下降,所占比例与D组比较,差异有统计学意义(P<0.05)。结论针对骨密度降低和骨质疏松患者进行健康管理对于改善患者生活质量、预防骨折发生具有重要意义。更多还原

【Abstract】 Objective To investigate the clinical significance of health management for the patients with osteoporosis and bone mineral density(BMD) decrease. Methods 340 cases of osteoporosis and BMD decrease in the outpatient department of our hospital from April 2013 to June 2015 were selected and randomly divided into 4 groups :osteoporosis health management group(A,60 cases),osteoporosis control group(B,61 cases),BMD decrease health management group(C,109 cases) and BMD decrease control group(D,110 group). The group A and C were implemented the health management,while the other two groups were performed the conventional management. The clinical alleviation situation and preventive effect of complications after health management were observed in various groups. Results After the health management,63.0% of the patients with BMD decrease in the group A could be converted to normal. BMG in the group B was manifested by slight decrease,22.0% of the patients appeared the risk of fragility fracture. Only 4 cases of fracture occurred in the group C with the occurrence rate of 3.7%,while 18 cases in the group D developed fracture with the occurrence rate of 16.4%,the fracture occurrence rate showed the statistical dif ference between these two groups(P<0.05). In the osteoporosis patients,the number of the patients with the VAS 4-6 points in the group A was significantly decreased,its proportion showed the statistical difference compared with the group B(P<0.05);in the patients with BMD decrease,the number of the patients with the VAS 4-6 points in the group C was also significantly decreased,its proportion showed the statistical difference compared with the group D(P<0.05). Conclusion Conducting the health management on the patients with osteoporosis and BMD decrease has an important significance to improve the living quality and prevent the fracture occurrence of the patients.更多还原