基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2013年
23期
2998-2999
,共2页
乔更生%赖雪莲%杜新敏%张巍
喬更生%賴雪蓮%杜新敏%張巍
교경생%뢰설련%두신민%장외
骨质疏松%钙%维生素D%骨化三醇%骨密度%健康教育
骨質疏鬆%鈣%維生素D%骨化三醇%骨密度%健康教育
골질소송%개%유생소D%골화삼순%골밀도%건강교육
Osteoporosis%Calcium%Vitamin D%Calcitriol Bone density%Health education
目的评估社区干预对老年骨质疏松患者的疗效。方法筛选我院门诊老年骨质疏松患者120例，采用随机双盲法分成干预1组、干预2组和对照组。观察患者疼痛症状改善情况；监测治疗前及治疗1年后腰椎第1~4节（L1~4）及左股骨骨密度（BMD）变化。结果干预1组和干预2组患者治疗后，疼痛症状改善率分别为85%（34/40）和92%（37/40）。两干预组治疗后L1~4 BMD值分别为（0.93±0.17）g/cm2和（0.94±0.12）g/cm2，股骨BMD值分别为（0.91±0.08）g/cm2和（0.93±0.11）g/cm2，均较治疗前明显增高，且与对照组相比，差异均有统计学意义（P<0.05）；干预2组与干预1组相比，BMD值增高（P<0.05）。结论健康教育指导和口服钙剂、骨化三醇能够改善骨质疏松症患者的疼痛症状、增加骨密度；加用维生素D，可进一步提高疗效。
目的評估社區榦預對老年骨質疏鬆患者的療效。方法篩選我院門診老年骨質疏鬆患者120例，採用隨機雙盲法分成榦預1組、榦預2組和對照組。觀察患者疼痛癥狀改善情況；鑑測治療前及治療1年後腰椎第1~4節（L1~4）及左股骨骨密度（BMD）變化。結果榦預1組和榦預2組患者治療後，疼痛癥狀改善率分彆為85%（34/40）和92%（37/40）。兩榦預組治療後L1~4 BMD值分彆為（0.93±0.17）g/cm2和（0.94±0.12）g/cm2，股骨BMD值分彆為（0.91±0.08）g/cm2和（0.93±0.11）g/cm2，均較治療前明顯增高，且與對照組相比，差異均有統計學意義（P<0.05）；榦預2組與榦預1組相比，BMD值增高（P<0.05）。結論健康教育指導和口服鈣劑、骨化三醇能夠改善骨質疏鬆癥患者的疼痛癥狀、增加骨密度；加用維生素D，可進一步提高療效。
목적평고사구간예대노년골질소송환자적료효。방법사선아원문진노년골질소송환자120례，채용수궤쌍맹법분성간예1조、간예2조화대조조。관찰환자동통증상개선정황；감측치료전급치료1년후요추제1~4절（L1~4）급좌고골골밀도（BMD）변화。결과간예1조화간예2조환자치료후，동통증상개선솔분별위85%（34/40）화92%（37/40）。량간예조치료후L1~4 BMD치분별위（0.93±0.17）g/cm2화（0.94±0.12）g/cm2，고골BMD치분별위（0.91±0.08）g/cm2화（0.93±0.11）g/cm2，균교치료전명현증고，차여대조조상비，차이균유통계학의의（P<0.05）；간예2조여간예1조상비，BMD치증고（P<0.05）。결론건강교육지도화구복개제、골화삼순능구개선골질소송증환자적동통증상、증가골밀도；가용유생소D，가진일보제고료효。
Objective To evaluate the efficacy of community intervention in elder patients with osteoporosis. Methods 120 outpatients with osteoporosis from Jimenli Community Health Service Center in Haidian District in Beijing were randomly divided into interventional group 1,interventional group 2 and control groups in a double-blind method.Improvement of symptoms was observed in patients with pain.The changes of bone mineral density (BMD) in lumbar 1 to 4 (L1~4) and left femur before treatment and 1-year after treatment were monitored.Results The clinical pain related symptoms of patients in interventional group 1 and 2 after 1-year treatment were significantly improved. The improvement rates were 92%(34/40)and 94% (29/40).The BMD values of interventional group 1 and 2 after 1 year treatment were significantly higher than before. After treatment, L1~4 BMD values were (0.93±0.17)g/cm2 and (0.94± 0.17)g/cm2,while Femur BMD values were (0.91±0.08)g/cm2 and (0.89 ±0.12)g/cm2. The difference of BMD values between interventional group 1/2 and the control group was statistically significant (P<0.05), respectively. BMD values in interventional group 2 were further increased, compared with interventional group 1(P<0.05). Conclusions Health education guidance and calcium and calcitriol could improve pain symptoms in osteoporosis patients, increase bone density. Adding vitamin D, it could further improve the efficacy of patients with osteoporosis.
