“全专联动”服务模式对继发性骨质疏松症患者治疗效果的影响  

Influence of"General Practitioner-Specialist Linkage"Service Model on Treatment Effect of Secondary Osteoporosis Patients

作　　者：杨蓝 周鹏 Yang Lan;Zhou Peng(Shanghai Xuhui District Fenglin Street Community Health Service Center,Shanghai 200032,China)

机构地区：[1]上海市徐汇区枫林街道社区卫生服务中心,上海200032

出　　处：《中国社区医师》2023年第34期133-135,共3页Chinese Community Doctors

基　　金：徐汇区科学技术委员会徐汇区卫生健康委员会项目(编号:SHXH202236)。

摘　　要：目的:探讨“全专联动”服务模式对继发性骨质疏松症患者治疗效果的影响。方法:选取2017年1月—2022年10月上海市徐汇区枫林街道社区卫生服务中心收治的84例继发性骨质疏松症患者作为研究对象,随机分为观察组和对照组,各42例。两组均给予常规治疗,对照组在此基础上给予常规干预,观察组在对照组基础上采用“全专联动”服务模式干预。比较两组骨密度、骨转化生化指标差异。结果:治疗后,两组股骨颈、Ward三角区、腰椎的骨密度高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组血清钙、血清骨钙素、25-羟维生素D水平高于治疗前,且观察组高于对照组,两组碱性磷酸酶水平低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:“全专联动”服务模式有助于提高继发性骨质疏松症患者的骨密度,改善骨转化生化指标。Objective:To explore the influence of"general practitioner-specialist linkage"service model on the treatment effect of secondary osteoporosis patients.Methods:Eighty-four patients with secondary osteoporosis admitted to Shanghai Xuhui District Fenglin Street Community Health Service Center from January 2017 to October 2022 were selected as the study subjects.They were randomly divided into observation group and control group,with 42 cases in each group.Both groups were given conventional treatment,the control group received routine intervention on the basis of the above treatment,and the observation group received"general practitioner-specialist linkage"service model on the basis of the control group.Bone mineral density and bone transfor‑mation biochemical indexes were compared between the two groups.Results:After treatment,the bone mineral density of femoral neck,Ward triangle and lumbar spine in the two groups was higher than that before treatment,and the level in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05);the serum calcium,serum osteocalcin and 25-hydroxyvitamin D levels in the two groups were higher than those before treatment,and the levels in the obser‑vation group were higher than those in the control group,while the levels of alkaline phosphatase in the two groups were lower than those before treatment,and the levels in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The"general practitioner-specialist linkage"service model is helpful to in‑crease bone mineral density of secondary osteoporosis patients,and improve bone transformation biochemical indexes.

关 键 词：全专联动 继发性骨质疏松症 骨密度 骨转化生化 

分 类 号：R580[医药卫生—内分泌]