CAJ | 학술논문

目的探讨强化护理对绝经后骨质疏松症(PMO)患者骨密度和骨代谢的影响.方法 55例PMO患者随机分为强化护理组(n=24)和对照组(n=21).两组每天服用元素钙600 mg,强化护理组并接受健康教育和户外运动指导.对照组由家人自由安排护理.结果干预1年后,强化护理组髋部骨密度明显增加,而对照组骨密度无明显改变,组间差异有统计学意义(P<0.05);强化护理组骨形成和骨吸收指标明显下降(P<0.05).而对照组骨代谢指标无显著变化.结论强化护理可有效增加PMO患者髋部的骨密度,抑制骨代谢,有助于PMO的治疗.
목적 탐토강화호리대절경후골질소송증(PMO)환자골밀도화골대사적영향.방법 55례PMO환자수궤분위강화호리조(n=24)화대조조(n=21).량조매천복용원소개600 mg,강화호리조병접수건강교육화호외운동지도.대조조유가인자유안배호리.결과 간예1년후,강화호리조관부골밀도명현증가,이대조조골밀도무명현개변,조간차이유통계학의의(P<0.05);강화호리조골형성화골흡수지표명현하강(P<0.05).이대조조골대사지표무현저변화.결론 강화호리가유효증가PMO환자관부적골밀도,억제골대사,유조우PMO적치료.
Objective To explore the efficacy of reinforcement nursing on bone mineral density (BMD) and bone metabolism in patients with postmenopansal osteoporosis (PMO). Methods 55 PMO patients were randomly divided into the reinforcement nursing group (n = 24) and the control group (n = 21). In the reinforcement nursing group, the patients were treated with health education and regular exercise over 12 months. The patients in the control group accepted the nursing freely scheduled by the family members. All the patients in the study took 600 mg calcium everyday. Bone mineral density at the hip, and lumbar spine and bone metabolic marker were measured at baseline and 12 months. Results After 1 year, BMD at the hip in the intervention group had a significantly greater increase compared with the control group (P < 0.05). The level of osseous formation index BGP and absorption index Upyd/Cr significantly decreased in the intervention group (P < 0.05), while no significant changes in bone metabolism were observed in the control group. Conclusions The reinforcement nursing is an effective way in the treatment of postmenopausal osteoporosis. It can effectively increase the BMD at the hip, and inhibit the bone metabolism in PMO patients, thereby being helpful to the treatment of PMO.