目的 探讨中医综合护理对老年膝骨关节炎生活质量的影响.方法 将于上海市浦东新区大团社区卫生服务中心2017年11月-2020年4月接受治疗的120例膝骨关节炎患者随机分为对照组和观察组各60例.对照组给予美洛昔康7.5 mg,日 1次,口服,治疗2周结合中医康复护理.观察组在对照组基础上,开展药盐包热敷护理,比较2组患者治疗前后的情况变化.结果 治疗后2组患者的VAS、WOMAC、SF-36量表评分较治疗前均有不同程度改善,差异有统计学意义(P＜0.01).观察组总有效率高于对照组,2组数据差异有统计学意义(P＜0.05).结论 药盐包热敷结合中医康复护理对老年膝骨关节炎功能改善具有较好疗效,中医综合护理提高了老年膝骨关节炎生活质量.

目的 探讨社区痛风性关节炎患者治疗过程中实施中西医结合治疗措施所发挥出的作用.方法 将2018年5月-2019年6月社区内64名痛风性关节炎患者均分为对照组和观察组,各为32例.对照组患者治疗期间,主要以双氯芬酸钠双释放肠溶胶囊和嘌呤醇片两种药物为主,观察组患者治疗期间,常规药物同上,另外增加虎杖痛风颗粒.结果 观察组患者中医证候得分和VAS疼痛评分由治疗前的19.13±2.41分、6.87±1.43分改善至治疗后的2.56±2.43分、1.43±1.45分,与治疗后的对照组(7.24±1.43分、4.53±1.14分)相比较,观察组患者两项指标改善效果较为显著,具有可比性(P＜0.05).观察组、对照组患者治疗总有效率分别为93.75％、78.13％,组间差值具有可比性(P＜0.05).治疗后,观察组患者的ESR、CRF和UA三项生化指标的改善情况均优于对照组,组间差值具有可比性(P＜0.05).结论 采用中西医结合的治疗方式,可减轻痛风性关节炎患者的疼痛程度,治疗后,患者的生活指标得到明显改善,病情得到有效的控制,临床治疗效果较为显著,具有更高的使用价值.

Objective To investigate the correlation between senile female osteoporosis(OP) and female physiological factors at Beicai Township of Shanghai.Methods The bone density was detected in lumbar spine and left proximal femur in 398 senile women(age range:60～79 yr) by GE DEXA machine.Results According to the results of bone density detection,the senile women were divided into three groups:OP group,normal bone mass group and bone mass loss group.There was no significant difference in the menarche age among the three groups(P0.05),however,there were significant differences in the amenorrhea age,menorrhea duration,menorrhea days and gravidity among the three groups(P0.05),and there were significant differences in the amenorrhea age,menorrhea duration and gravidity between normal bone mass group and OP group(P0.05),however,there was no significant difference in the menorrhea days between the two groups(P0.05).There were significant differences in the amenorrhea age,menorrhea duration and menorrhea days between normal bone mass group and bone mass loss group(P0.05),and there were significant differences in the amenorrhea age,menorrhea days and gravidity between bone mass loss group and OP group(P0.05),however,there was no significant difference in the menorrhea duration between the two groups(P0.05).Conclusion There is a close correlation between OP and female physiological factors at Beicai Township of Shanghai,especially,for the elderly women with earlier amenorrhea age,shorter menorrhea duration,less menorrhea days and more gravidity,who should pay much attention to the prevention and treatment of OP.

<正>骨质疏松症系以骨强度下降而易于骨折为特征的骨骼系统疾病。骨质疏松因其严重的致残、致死、生活质量下降及寿命的缩短,日益受到全社会的关注。在高龄老年人中,1/3的女性和1/6的男性将会发生髋部骨折[1]。有研究预测,至2050年

目的了解上海市北蔡镇老年人群体质量指数(BMI)与骨质疏松症(OP)发病的关系,为本地区OP的防治提供参考。方法使用美国GE公司双能X线骨密度仪对274例上海市北蔡镇60~80岁老年人正位腰椎和左股骨近端进行骨密度测定,根据BMI将其分为体质量正常组(18.5~23.9)和超重组(≥24)。让老人回忆25岁时的身高、体质量,计算出25岁时BMI,再按25岁BMI分为低体质量组(<18.5)、体质量正常组(18.5~23.9)和超重组(≥24)。结果25岁时体质量正常组、低体质量组、超重组的老人OP发病率分别为36%、58%、63%,低体质量组和超重组与体质量正常组比较OP发病率差异均有统计学意义(P均<0.05),低体质量组与超重组OP率无显著性差异(P>0.05)。目前体质量正常组和超重组OP率分别为62%、41%(P<0.005)。结论上海市北蔡镇老年人群OP发病率与目前BMI呈负相关;25岁时低体质量和超重可能影响峰值骨量的形成。

<正>骨质疏松症(Osteoporosis,0P)是一种全身骨代谢障碍的疾病。发病机制一直还不十分明确,一直认为内分泌改变、钙摄入不足、缺乏锻炼和遗传是造成骨质疏松症的重要因素[1]。其发病率已跃居世界各种常见病的第七位[2、3]。通过对上海市北蔡镇海东居委老年人群骨密度(Bone mineraldensity,BMD)进行测定,得出本地区人群BMD及OP患病率的变化,为防治OP提供参考。

Objective To investigate the prevalence rate of osteoporosis and the changes of BMD in the aged adults in Beicai town of Shanghai.Methods The investigation was conducted in 608 aged of 60-79 years old humans including 205 men and 403 women.Everyone was given BMD assay of lumbar spine and total hip by GE DEXA machine.Results The hip BMD decreased when the age increased,otherwise the lumbar BMD did not increase when the age increased.There were significant statistical differences among the group of 60-64y、65-69y、70-74y、75-79y(P0.05).Moreover,the prevalence rate of osteoporosis in men was lower than women in each group(P0.05).Conclusion The prevalence rate of osteoporosis in aged people of Beicai town increased with the age increased,the highest rate is of the group of age 70-79years old women.It can be concluded that the focus of fragility fracture prevention is on the aged women.