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目的研究社区综合干预对绝经后骨质疏松症(PMO)的影响。方法对127例PMO患者随机分成2组,其中社区干预组65例,对照组62例。2组药物治疗(雌激素、钙剂)差异无统计学意义。对照组采用自然就医模式,实验组同时进行社区综合干预,观察1期年。采用前瞻性研究方法。结果干预组有效率98.5%,骨密度增加14.9%,并发症发生率3.1%;对照组有效率77.4%,骨密度增加8.3%,并发症发生率8.3%。2组比较差异有统计学意义(P<0.01)。结论社区综合干预明显提高PMO的治疗效果,减少并发症,增加骨密度,应成为PMO防治新的医学模式。
Objective To study the effect of community-based intervention on postmenopausal osteoporosis (PMO). Methods 127 patients with PMO were randomly divided into two groups, including 65 community intervention group and 62 control group. There was no significant difference between the two groups in drug therapy (estrogen and calcium). The control group adopted the mode of natural medical treatment, while the experimental group also carried out comprehensive community intervention to observe a period of one year. Using prospective research methods. Results The effective rate of the intervention group was 98.5%, the BMD increased 14.9% and the complication rate was 3.1%. The effective rate of the control group was 77.4%, the BMD increased 8.3% and the complication rate 8.3%. The difference between the two groups was statistically significant (P <0.01). Conclusion Comprehensive community intervention significantly improves the therapeutic effect of PMO, reduces complications and increases bone mineral density, which should become a new medical model for prevention and treatment of PMO.