分级诊疗的双向转诊模式用于老年骨质疏松患者管理的临床价值OA
Clinical Value of Two-Way Referral Model for Graded Diagnosis and Treatment in the Management of Elderly Patients with Osteoporosis
目的 研究分级诊疗的双向转诊模式用于老年骨质疏松患者管理的临床价值.方法 选取 2021 年 10 月至2022 年 10 月庆阳市第二人民医院收治的 100 例老年骨质疏松患者作为研究对象,根据诊疗管理模式不同将患者分为观察组(50 例,行分级诊疗的双向转诊模式管理)和对照组(50 例,行常规诊疗管理).比较两组患者干预前后股骨颈、腰椎L1—L2 及L3—L4 骨密度值,记录干预前后患者骨代谢指标水平[血清碱性磷酸酶(ALP)、血清钙及骨钙素].采用骨质疏松症生存质量简明量表(COQOL)评估两组患者干预前后生活质量状况.结果 干预后观察组股骨颈、腰椎L1—L2 及L3—L4 骨密度值均高于对照组,差异有统计学意义(P＜0.05).干预后观察组血清ALP低于对照组,血清钙和骨钙素水平高于对照组,差异均有统计学意义(P＜0.05).干预后观察组疼痛症状、身体机能、社交活动能力及心理精神等COQOL评分均低于对照组,差异均有统计学意义(P＜0.05).结论 基于分级诊疗的双向转诊模式用于老年骨质疏松患者随访管理,有助于改善骨代谢和骨密度水平,提高患者生活质量.
Objective To investigate the clinical value of a two-way referral model for graded diagnosis and treatment in the management of elderly patients with osteoporosis.Methods A total of 100 elderly patients with osteoporosis admitted to Qingyang Second People's Hospital from October 2021 to October 2022 were selected as the study subjects.Patients were divided into an observation group(50 cases)and a control group(50 cases)based on different diagnosis and treatment management models,where the observation group underwent a two-way referral model for graded diagnosis and treatment,while the control group received conventional diagnosis and treatment management.Bone mineral density values of the femoral neck and lumbar vertebrae(L1—L2 and L3—L4)before and after intervention were compared between the two groups.Levels of bone metabolism indicators[serum alkaline phosphatase(ALP),serum calcium,and bone calcium]before and after intervention were recorded.The quality of life of patients before and after intervention was assessed using the Quality of Life Questionnaire for Osteoporosis(COQOL).Results After intervention,the bone mineral density values of the femoral neck and lumbar vertebrae(L1—L2 and L3—L4)in the observation group were higher than those in the control group,with statistically significant differences(P＜0.05).After intervention,serum ALP levels were lower,and serum calcium and bone calcium levels were higher in the observation group compared to the control group,with statistically significant differences(P＜0.05).After intervention,COQOL scores for pain symptoms,physical function,social activity ability,and psychological well-being were lower in the observation group than in the control group,with statistically significant differences(P＜0.05).Conclusion The two-way referral model for graded diagnosis and treatment used in the follow-up management of elderly patients with osteoporosis can help improve bone metabolism and bone density levels,and enhance patient quality of life.
邹亚兰;张康;李红霞;吴婷婷
庆阳市第二人民医院 内分泌科,甘肃 庆阳 745000庆阳市西峰区肖金镇卫生院 老年医学科,甘肃 庆阳 745000
临床医学
分级诊疗双向转诊模式老年骨质疏松管理效果
graded diagnosis and treatmenttwo-way referral modelelderly osteoporosismanagement efficacy
《临床研究》 2024 (005)
115-118 / 4
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