Study on the application effect of integrated traditional and western medicine osteoporosis management model in patients with osteoporotic vertebral compression fractures
Objective To study the application effect of integrated traditional and western medicine osteoporosis manage-ment model in patients with osteoporotic vertebral compression fractures(OVCF).Methods A total of 156 patients with OVCF diagnosed and treated in Department of Orthopedics and Traumatology,Jiangsu Province Hospital of Chinese Medicine from June 2020 to March 2022 were selected,they were divided into control group and observation group accord-ing to the random number table method,with 78 cases in each group.All patients received bone cement micro-wound treat-ment,control group was given routine nursing during perioperative period,and observation group was treated with integrated traditional and western medicine osteoporosis management model.Bone mineral density,Chinese version of osteoporosis self-efficacy scale(OSES)score,and modified Barthel index score were compared between two groups at admission and six months after discharge;visual analogue scale(VAS)scores were compared between two groups at admission,one,three,and six months after discharge;the incidence of fall and recurrent fractures within six months after discharge were compared between two groups.Results A total of 69 cases in control group and 71 cases in observation group completed the study.At six months after discharge,bone mineral density of observation group was higher than that of control group and at admission(P＜0.05);OSES score,modified Barthel index in observation group were higher than those at admission,and those in observation group were higher than those in control group(P＜0.05).Overall analysis showed that there were significant differences in VAS scores time,inter-group,and interaction between two groups(P＜0.05).Further pairwise comparison and intra-group comparison:VAS scores of each time point in two groups were compared,and the differences were statistically significant(P＜0.05);comparison between groups:at three and six months after discharge,VAS scores of observation group were lower than those of control group(P＜0.05).Within six months of discharge,the fall rate of observation group was lower than that of control group(P＜0.05).There was no significant difference in the incidence of recurrent fractures between two groups(P＞0.05).Con-clusion The integrated traditional and western medicine osteoporosis management model can improve the bone mineral densi-ty,improve the degree of osteoporosis,and reduce pain of patients with OVCF.
Integrated traditional and western medicineOsteoporosis management modelOsteoporosis vertebral compression fractureRecurrent fractures
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