首页> 中文期刊> 《国际病理科学与临床杂志》 >体重管理在骨科慢性病防治中的作用

体重管理在骨科慢性病防治中的作用

         

摘要

目的:分析体重管理在骨科慢性病防治中的临床作用,为骨科慢性病患者建立良好的饮食和运动习惯.方法:选择2012年6月至2015年6月期间在南京军区南京总医院体检中发现的648例骨科慢性病患者,随机分为对照组和观察组,每组324例.对照组体检后继续现有饮食、运动习惯;观察组体检后进行严格的体重管理,包括个性化的膳食和运动锻炼指导,管理时间均为12个月.比较两组干预前后体重、关节疼痛感、关节活动功能等指标.结果:对照组干预前、干预后6个月、干预后12个月时各指标变化不显著(P>0.05).观察组干预前、干预后6个月、干预后12个月时的肥胖情况差异显著(P<0.05),其中以超重、肥胖比例变化最为明显.观察组干预前、干预6个月、干预12个月时的VAS评分(7.40±1.68 vs.6.94±1.42 vs.6.16±1.49)、BI指数(68.84±4.73 vs.74.82±5.33 vs.79.52±5.41)、关节功能优良率(56.48% vs.65.74% vs.75.00%)差异显著(P<0.05).结论:体重管理干预能够有效改善患者的肥胖情况,减轻患者骨科慢性病症状,缓解疼痛,改善生活质量,值得临床重视.%Objective:To analyze the clinical effect of weight management in the prevention and treatment of chronic orthopedics diseases,and to establish a good diet and exercise habit for the patients with chronic orthopedics diseases.Methods:A total of 648 cases of chronic orthopedics diseases found by physical examination in our hospital from June 2012 to June 2015 were randomly divided into a control group and an observation group,324 cases in each group.Patients in the control group were given the existing diet and exercise habits.Patients in the observation group were treated with strict weight management,including personalized diet and exercise guidance.All patients were managed for 12 months.The weight,joint pain scores and joint function before and after the intervention between the two groups were compared.Results:All indicators' change of control group before intervention,6 months after intervention,12 months after the intervention was not significant (P>0.05).Obesity of the observation group before intervention,6 months after intervention,12 months after the intervention was significantly different (P<0.05),in which the overweight and obesity showed the most significant.The VAS score (7.40±1.68 vs.6.94±1.42 vs.6.16±1.49),BI index (68.84±4.73 vs.74.82±5.33 vs.79.52±5.41),and the excellent rate ofjoint function (56.48% vs.65.74% vs.75.00%) were significantly different between the two groups before intervention,6 months and 12 months after intervention (P<0.05).Conclusion:Weight management can effectively improve the patients with obesity,reduce the symptoms of patients with chronic diseases,relieve pain,and improve the quality of life.It is worthy of attention.

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