| 第一作者：王译,汤诗,吴耀持.基于具有中医特色的慢病管理模式对于社区老年性骨质疏松症干预的观察研究[J].浙江中西医结合杂志,2026,36(3): |
| 基于具有中医特色的慢病管理模式对于社区老年性骨质疏松症干预的观察研究 |
| Observation and Research on the Intervention of Senile Osteoporosis in the Community Based on the Chronic Disease Management Model with Traditional Chinese Medicine Characteristics |
| 投稿时间：2025-02-17 修订日期：2025-06-24 |
| DOI： |
| 中文关键词: 骨质疏松症、慢病管理、针刺疗法 |
| 英文关键词:Osteoporosis,chronic disease management, acupuncture therapy |
| 基金项目:1 上海市宝山区科学技术委员会课题,项目编号：2023-E-60；2上海市名中医吴耀持工作室宝山友谊分中心特色品牌 项目编号：BSZK-2023-T09 |
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| 中文摘要: |
| 目的：运用具有中医特色的慢病管理模式干预社区老年性骨质疏松症并观察疗效。方法：选取辖区内诊疗的骨质疏松症患者,按随机数字表法分为对照组及观察组,对照组采用一般慢病管理模式进行跟踪干预,观察组则采用慢病管理模式联合中医针刺疗法进行干预。结果：治疗前后两组VAS评分、中医症状总评分、生活质量评分(SF-36)中生理机能及躯体疼痛评分、骨代谢指标差异均具有统计学意义(P≤0.05)。观察组VAS评分、SF-36中生理机能、躯体疼痛评分以及有效率明显优于对照组,差异具有统计学意义(P≤0.05)。余研究评价指标,无统计学意义(P＞0.05)。结论: 在常规慢病管理模式下对于社区老年性骨质疏松症进行干预在减轻疼痛,降低中医症候评分,以及生活质量评分中生理机能及躯体疼痛改善中具有疗效,但加入中医特色治疗后疗效更佳,可提高患者的生活质量,值得临床推广。 |
| 英文摘要: |
| : Objective: To apply a chronic disease management model with Chinese medicine characteristics to intervene in senile osteoporosis in the community and observe the therapeutic effect. Methods: Select patients with osteoporosis who seek treatment in our hospital and divided them into a control group and an observation group receives follow-up intervention using a general chronic disease management model, while the observation group receives traditional Chinese acupuncture therapy added to the control one. Results: There were statistically significant differences (P≤0.05) in VAS scores, total score of traditional Chinese medicine symptoms, physiological function and physical pain scores of the SF-36 quality of life score, and bone metabolism indicators between the two groups before and after treatment. The VAS score, SF-36’s physiological function, physical pain score, and effective rate of the observation group were significantly better than those of the control group, and the difference was statistically significant (P≤0.05). There was no statistically significant difference (P＞0.05) in the evaluation indicators of the remaining studies. Conclusion: Under the conventional chronic disease management model, the intervention for senile osteoporosis in the community is effective in reducing pain, lowering TCM symptom scores, and improving physical function and bodily pain in the quality of life score. However, the addition of traditional Chinese medicine characteristic treatment has better efficacy, which can improve the quality of life of patients and is worthy of clinical promotion. |
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