不同学科骨质疏松症患者的药物治疗及日常生活能力分析

Objective To provide ideas for the diagnosis and treatment of clinical OP,we analysed the general situation of hospitalization of osteoporosis (OP) patients in different disciplines, drug treatment, and activities of daily living (ADL)。Methods A total of 1667 patients with primary diagnosis and secondary diagnosis of OP were collected from the homepage of our hospital. According to the number of patients admitted,the top 5 departments were divided into 5 groups . Groups 1, 3, and 5 were internal medicine groups, and groups 2 and 4 were surgical groups. Statistical analysis of the drug treatment, and ADL scores changes about admission and discharge in differences. Results There were more women than men in OP patients treated in different departments. The age and length of hospitalization in the orthopedics group were higher than those in the internal medicine group (P<0.05), suggesting that with the increase of age, the number of patients undergoing orthopedics with fractures increased, age was proportional to the incidence of fractures. The main diagnosis rate of OP was 8%. The rate of using anti-OP drugs in the orthopedic group was low, and the rate in the internal medicine group was high, there were differences between the groups (P<0.05), but according to the guidelines, it still had not reached the standard. Comparison of the difference in ADL between the groups before and after hospitalization, and the change was related to the department where they were and whether they were operated (P<0.001). Conclusion There are more women with osteoporosis than men, and there is a positive relationship between age and fracture occurrence.The diagnosis rate of OP in different departments was low, and most of them were in the form of coexisting diseases.However，it is easy to be ignored, and the treatment methods are different when distributed to different clinical departments. Orthopedics is mainly based on post-fracture surgical treatment, and basic anti-osteoporosis medication is not enough. The patients admitted in orthopedics are old and have a long hospital stay, and their daily living ability during hospitalization is reduced. The medical intervention in the internal medicine group is predominant, but it is still not standardized.All doctors did not pay enough attention to basic drug treatment, it was even more important to strengthen the surgeon\'s intervention in the primary disease. Standardized anti-osteoporosis treatment requires multidisciplinary cooperation, and it is imperative to promote the guideline.