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目的探讨多种骨质疏松症简易筛查工具在脑卒中患者中的应用价值。方法于2015年,选取上海市杨浦区殷行社区卫生服务中心病房脑卒中患者120例为脑卒中组,及门诊非脑卒中患者120例为非脑卒中组。两组患者分別使用国际骨质疏松症基金会(10M)骨质疏松症1 min测试题法、骨质疏松自我筛查工具(OSTA)法、放射吸收(RA)法进行骨质疏松筛查。比较两组患者不同方法筛查阳性率、上级转诊率及随访骨折发生率。结果两组患者IOM骨质疏松症1 min测试题法筛查阳性率间差异无统计学意义(P>0.05);脑卒中组患者OSTA法、RA法筛查阳性率及上级转诊率高于非脑卒中组(P<0.05)。;脑卒中组患者10M骨质疏松症1 min测试题法随访骨折发生率高于非脑卒中组(P<0.05);两组患者OSTA法、RA法随访骨折发生率间差异无统计学意义(P>0.05)。结论尽管骨质疏松症已被广泛重视,但是社区脑卒中患者由于肢体活动不便、日光照射较少,更易骨质疏松而导致骨折。因此,推广骨质疏松症简易筛查工具在脑卒中患者中的应用尤为重要。
Objective To explore the value of multiple screening tools for osteoporosis in patients with stroke. Methods In 2015, 120 stroke patients in the ward of Yinxing Community Health Service Center of Yangpu District of Shanghai were selected as the stroke group, and 120 non-stroke patients in the outpatient non-stroke group as the non-stroke patients. The two groups were screened for osteoporosis by the International Osteoporosis Foundation (10M) osteoporosis 1 min test, OSTA, and RA. The positive rate, higher referral rate and the incidence of follow-up fracture were compared between two groups according to different methods. Results There was no significant difference in the positive rate of IOM osteoporosis 1 minute test between the two groups (P> 0.05). The positive rate of OSTA and RA screening in stroke group was higher than that of upper esophageal cancer Non-stroke group (P <0.05). ; Stroke group 10M osteoporosis 1 min test method follow-up fracture rate was higher than non-stroke group (P <0.05); two groups of patients OSTA method, RA method of follow-up fracture incidence was no significant difference P> 0.05). Conclusion Although osteoporosis has been widely regarded, community stroke patients suffer from fractures because of inconvenience of physical activity, less sunlight and easier osteoporosis. Therefore, the promotion of simple screening tools for osteoporosis in stroke patients is particularly important.