唐鸣 1李菁 2邹重文 1徐昕 1符秀娟 1沈颖丽1
作者信息
- 1. 中国人民解放军联勤保障部队第九二八医院骨科, 海南 海口 571159
- 2. 武警海南总队医院疼痛康复科, 海南 海口 570203
- 折叠
摘要
Abstract
Objective To explore the risk of osteoporosis (OP) in elderly women with common chronic diseases and analyze the effect of comprehensive intervention on quality of life.Methods Elderly women (≥60years) visiting 187th Hospital of PLA from May2017to March 2018were selected as study objects, and divided into four groups according to whether suffering from common chronic diseases, including diabetes mellitus group (DM group), chronic obstructive pulmonary disease group (COPD group), cardio-cerebrovascular disease group and normal group with 25cases in each group.Bone mineral density (BMD) of different parts (lumbar spine, hip and the left forearm distal radius) in 4groups were detected and compared.Whoqol-100quality of life scale was used to evaluate the quality of life of all patients with OP after 3 months of comprehensive intervention.Results There was significant difference in prevalence of OP among 4groups checked by Fisher's exact probability method (P＜0.01), with highest prevalence of OP in COPD group (100.00％) and lowest in normal group (52.00％).Further Fisher's exact probability check analysis found that prevalence of OP in COPD group was significantly higher than that in other three groups (all P＜0.01), but there was no significant difference in prevalence of OP among DM group, cardio-cerebrovascular disease group and normal group (χ2=0.325, P=0.850).There were significant differences in bone mineral contents of lumbar spine, hip and left forearm distal radius among 4groups (Fvalue was 2.543, 2.228and 3.937, respectively, all P＜0.05).Further analysis revealed that mineral contents in lumbar spine, hip and left forearm distal radius in COPD group were significantly lower than those in other three groups (t value ranged 2.213-3.097, all P＜0.05), while there were no significant differences among DM group, cardiocerebrovascular disease group and normal group (Fvalue was 0.334, 0.457and 0.214, respectively, all P＞0.05).Thirty-three patients diagnosed with OP in four groups accepted intervention treatment, and survey results found that overall quality of life score significantly increased after intervention (t=3.66, P＜0.05), and physical, psychological, environmental, independence and mental health scores were all significantly increased (t value ranged 2.41-3.91, all P＜0.05).Conclusion Elderly women with COPD are prevalent population of OP fractures, and prevention of fracture and comprehensive intervention should be done as soon as possible.关键词
慢性病/骨质疏松/综合干预/疗效Key words
chronic disease/osteoporosis (OP)/comprehensive intervention/curative effect分类
医药卫生
