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| 不同学科骨质疏松症患者的药物治疗及日常生活能力分析 |
| The analysis of hospitalization, drug therapy, and ADL on osteoporosis patients in different disciplines |
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| DOI：10.3969/j.issn.1006-7108.2020.11.021 |
| 中文关键词: 骨质疏松 药物治疗 规范治疗 日常生活能力 |
| 英文关键词:osteoporosis drug therapy conventional therapy activities of daily living |
| 基金项目:上海市闵行区自然科学基金项目(2019mhz088) |
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| 中文摘要: |
| 目的 通过对不同学科骨质疏松症患者住院的一般情况、药物治疗及日常生活能力的分析，为临床骨质疏松症的诊疗和管理提供思路。方法 回顾我院诊断为骨质疏松症患者共1667例，按收治例数多少排名前5位的科室分为5组，1、3、5组为内科组，2、4组为外科组。分析患者一般情况、药物治疗、入出院日常生活能力评分及差值的变化。结果 不同科室收治的患者女性均高于男性，骨科组患者年龄、住院时间均高于内科组（P＜0.05），提示随年龄增长，并发骨折人数增多，年龄与骨折的发生呈正比例关系。以骨质疏松原发病就诊率低，仅为8.0%，一般与多种疾病共存时发现。骨科组药物治疗率低，内科组使用率高，各组间有差异（P＜0.05），但按照指南规范仍尚未达到标准。各组出入院前后日常生活能力差值的比较，其改变与所在科室、是否手术存在相关性（P＜0.001）。结论 骨质疏松原发病就诊率低，一般与多种疾病共存时发现，治疗欠规范，各科室治疗重点及方法不同。骨质疏松症并发骨折患者年龄大，住院时间长。各科医生对于基础药物治疗方面均重视不够，加强外科医生对原发病的干预显得更为重要，规范的抗骨质疏松治疗需多学科合作。 |
| 英文摘要: |
| Objective To provide ideas for the diagnosis and treatment of osteoporosis (OP) by analyzing the general situation of hospitalization of OP patients in different disciplines, drug treatment, and activities of daily living (ADL). Methods A total of 1667 patients with primary diagnosis and secondary diagnosis of OP were collected from the homepage of our hospital. According to the number of patients admitted, the top 5 departments were divided into 5 groups. Groups 1, 3, and 5 were internal medicine groups, and groups 2 and 4 were surgical groups. The general situation, drug treatment, and the difference of ADL scores from admission to discharge were statistically analyzed. Results There were more female OP patients than male OP patients treated in different departments. The age and length of hospitalization in the orthopedics group were higher than those in the internal medicine group (P<0.05), suggesting that with the increase of age, the number of fracture patients increased, and aging was positively correlated with the incidence of fracture. The main diagnosis rate of OP was 8% only, and it was normally concurrent with other diagnosis. The rate of anti-OP drug use in the orthopedic group was low, but the rate in the internal medicine group was high. There was difference between the groups (P<0.05), but it had not reached the standard according to the guidelines. The changes in ADL between the groups before and after hospitalization were related to the department where they were and whether they were operated (P<0.001). Conclusion The diagnosis rate of OP is low, and is mostly with coexisting disease diagnosis. The treatment methods are not standardized and the treatment focus is different in different clinical departments. The patients admitted in orthopedics are old and have a long hospital stay. The medical intervention in the internal medicine group is predominant, but it is still not. All the doctors do not pay enough attention to basic drug treatment. It is important to strengthen the surgeon's intervention in the primary disease. Standardized anti-osteoporosis treatment requires multidisciplinary cooperation. |
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