基于肌骨能力健康的骨质疏松疼痛病防控体系在骨质疏松疼痛病患者中的应用效果研究  

Application effect of prevention and control system of osteoporotic pain disease based on musculoskeletal ability health in patients with osteoporotic pain disease

作　　者：王延洋 贺靖澜[1] 高红旗[1] 史计月[1] 耿明瑞 WANG Yanyang;HE Jinglan;GAO Hongqi;SHI Jiyue;GENG Mingrui(Affiliated Hospital of Hebei University of Engineering,Handan 056002,China)

机构地区：[1]河北工程大学附属医院,河北省邯郸市056002

出　　处：《临床合理用药杂志》2022年第9期18-22,26,共6页Chinese Journal of Clinical Rational Drug Use

基　　金：河北省社会科学基金项目(HB15GL118);河北省医学人才培养重点项目(20191306)。

摘　　要：目的观察基于肌骨能力健康(MAH)的骨质疏松疼痛病(OPD)防控体系在OPD患者中的应用效果。方法选取2020年1月—2021年7月河北工程大学附属医院医疗集团下属的鸡泽县小寨社区卫生服务中心、邯山区张庄社区卫生服务中心等8所一级医院及邯郸市第七医院和魏县中医院2所二级医院各20例OPD患者为研究对象。采用随机数字表法将其分为对照组和观察组,各100例。对照组予以常规干预,观察组在对照组的基础上予以基于MAH的OPD防控体系干预,2组均干预18个月。比较2组干预前及干预6、12、18个月肌骨一体影像评分(MCIS)、健康调查简表(SF-36)评分[包括躯体功能(PF)、身体角色(RP)、躯体疼痛(BP)、社会功能(SF)、总体健康(GH)、情绪角色(RE)、精力(VT)、心理健康(MH)评分]、西安大略和麦克马斯特大学骨关节炎调查量表(WOMAC)评分[包括肌骨疼痛、组织僵硬、肌骨功能评分及WOMAC总分]。结果观察组干预6、12、18个月MCIS低于对照组(P<0.01)。观察组干预后6、12、18个月PF、RP、BP、SF、GH、RE、VT、MH评分高于对照组(P<0.05)。观察组干预后6、12、18个月肌骨疼痛、组织僵硬、肌骨功能评分及WOMAC总分低于对照组(P<0.01)。结论基于MAH的OPD防控体系可有效减轻OPD患者病理损伤程度、改善肌骨关节功能和提高患者生活质量。Objective To observe the application effect of prevention and control system of osteoporotic pain disease(OPD)based on musculoskeletal ability health(MAH)in patients with OPD.Methods From January 2020 to July 2021,20 cases of OPD patients in each of 8 first-level hospitals including the Xiaozhai Community Health Service Center in Jize County,the Zhangzhuang Community Health Service Center in Handan District and two secondary hospitals including the No.7 Hospital of Handan City and Wei County Traditional Chinese Medicine Hospital which were affiliated to the Medical Group of the Affiliated Hospital of Hebei University of Engineering were selected.They were divided into control group and observation group by random number table method,100 cases in each group.The control group was given routine intervention,and the observation group was given the MAH-based OPD prevention and control system intervention on the basis of the control group.Both groups were intervented for 18 months.The musculoskeletal imaging score(MCIS),Short Form Health Questionnaire(SF-36)scores[including physical function(PF),physical role(RP),body pain(BP),social functioning(SF),general health(GH),emotional role(RE),energy(VT),mental health(MH)scores],and Western Ontario and McMaster University Osteoarthritis Survey(WOMAC)score[including musculoskeletal pain,tissue stiffness,musculoskeletal function score and WOMAC total score]before intervention and at 6,12,and 18 months after intervention were compared between the two groups.Results The MCIS in the observation group was lower than that in the control group at 6,12 and 18 months after intervention(P<0.01).The PF,RP,BP,SF,GH,RE,VT and MH scores of the observation group were higher than those of the control group at 6,12 and 18 months after intervention(P<0.05).The musculoskeletal pain,tissue stiffness,musculoskeletal function score and WOMAC total score in the observation group were lower than those in the control group at 6,12,and 18 months after intervention(P<0.01).Conclusion The MAH-based OPD p

关 键 词：骨质疏松疼痛病 肌骨能力健康 防控体系 

分 类 号：R580[医药卫生—内分泌]