骨质疏松症并发低蛋白血症对康复疗效及费用的影响

Effect of osteoporosis complicated with hypoproteinemia on rehabilitation efficacy and cost

目的观察骨质疏松症并发低蛋白血症对康复治疗效果及费用的影响。方法收集康复医学科住院诊断为骨质疏松症患者31例,分为2组,A组为骨质疏松症伴低蛋白血症患者12例,B组为骨质疏松症不伴低蛋白血症患者19例。两组患者均进行常规的药物治疗及康复治疗。评估两组患者入院和出院时康复功能评定指标:是否有疼痛、疼痛缓解程度、Bobath平衡、步行能力、日常生活能力评分、休息和活动时疼痛(VAS)分值。比较两组患者康复治疗效果,同时观察两组患者住院费用情况。结果康复治疗前后两组患者的休息和活动时疼痛(VAS)分值差异有统计学意义(P<0.05),其余平衡情况、步行能力、日常生活能力评分差异均无统计学意义。两组患者直接医疗费用差异无统计学意义。结论低蛋白血症延缓了骨质疏松症患者疼痛的治疗效果,对平衡功能、步行能力、日常生活能力的恢复未见明显差异,但纠正患者营养状况将是骨质疏松症治疗及康复的重要环节,骨质疏松症并发低蛋白血症对直接住院费用无影响。

Objective To observe the effect of osteoporosis complicated with hypoproteinemia on rehabilitation efficacy and cost.Methods Thirty-one osteoporotic patients were collected and divided into two groups.Group A included 12 cases of osteoporosis complicated with hypoalbuminemia,and Group B included 19 cases of osteoporosis without hypoalbuminemia.Patients in both groups were treated with conventional drugs and rehabilitation.Evaluate the index of rehabilitation function at the time of admission and discharge of the two groups of patients:the pain,the degree of pain relief,Bobath balance,walking ability,daily living ability score,pain score(VAS)during rest and activity.The effect of rehabilitation treatment was compared between the two groups of patients,and the cost of hospitalization was observed at the same time.Results There were statistically significant differences in resting and active pain scores(VAS)between the two groups of patients before and after rehabilitation(P<0.05),and there were no statistical differences in the balance,walking ability,and daily living ability scores.There was no statistical significance in direct medical costs between the two groups of patients.Conclusion Hypoproteinemia delays treatment effect of pain in patients with osteoporosis.There is no significant difference in the recovery of balance function,walking ability and daily living ability,but it will be an important link to cure the nutritional status of patients with osteoporosis in the treatment and rehabilitation.Osteoporosis complicated by hypoproteinemia may have no effect on direct hospitalization costs.