云克联合护理干预对痛风性关节炎伴骨质疏松的疗效分析

发布时间：2018-05-21 06:48

本文选题：痛风性关节炎 + 锝-亚甲基二膦酸盐注射液　；参考：《中国骨质疏松杂志》2017年10期

【摘要】：目的探讨云克(锝-亚甲基二膦酸盐注射液,99Tc-MDP)联合护理干预对痛风性关节炎患者骨密度及生活质量的影响。方法将182例痛风性关节炎合并骨量减低或骨质疏松患者随机分为对照组和试验组,对照组给予非甾体抗炎药、糖皮质激素及秋水仙碱治疗,试验组在此基础上加用云克及护理干预,使用美国Norland XR 600双能X线骨密度仪测量患者腰椎和髋关节骨密度值,采用Spitzer生活质量指数量表测评患者生活质量,比较两组干预前痛风性关节炎患者骨密度和生活质量及治疗6个月后痛风性关节炎患者骨密度和生活质量变化。结果治疗6个月后试验组骨密度及生活质量较对照组均明显提高,差异有统计学意义(P0.05)。结论云克联合护理干预能明显提高痛风性关节炎骨质疏松患者的骨密度及生活质量,明显改善临床症状。
[Abstract]:Objective to investigate the effect of combined nursing intervention of technetium and methylene diphosphonate injection on bone mineral density (BMD) and quality of life (QOL) in patients with gouty arthritis. Methods 182 patients with gouty arthritis complicated with decreased bone mass or osteoporosis were randomly divided into control group and experimental group. The control group was treated with non-steroidal anti-inflammatory drugs, glucocorticoid and colchicine. In the trial group, the bone mineral density of lumbar vertebrae and hip joint was measured by Norland XR600 dual energy X-ray absorptiometry, and the quality of life was measured by Spitzer quality of life index scale. Bone mineral density (BMD) and quality of life (QOL) of patients with gouty arthritis before and after 6 months treatment were compared between the two groups. Results after 6 months of treatment, the bone mineral density and quality of life in the experimental group were significantly higher than those in the control group, and the difference was statistically significant (P 0.05). Conclusion the combined nursing intervention of Yunke can significantly improve the bone mineral density and quality of life of patients with gouty arthritis osteoporosis and improve the clinical symptoms.
【作者单位】：大连医科大学附属第二医院;
【基金】：辽宁省自然科学基金(201602243)
【分类号】：R473.5

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