Effect of osteoporosis complicated with hypoproteinemia on rehabilitation efficacy and cost

• 1、Department of Rehabilitation Medicine of the First Afflicated Hospital of Hainan Medical University
• 2、Hainan, Haikou,570102
• 3、Clinical Skills Experimental Teaching Center of Hainan Medical University
• 4、Department of Gastroenterology of the First Afflicated Hospital of Hainan Medical University
• 5、Nuclear Medicine Department of the First Afflicated Hospital of Hainan Medical University
• 6、Minhang Hospital, Fudan University,Shanghai Minhang,201199
• 7、Department of Rehabilitation Medicine of Jiangchuan Community health service center,Shanghai Minhang, 200240

Abstract：Objective To observe whether osteoporosis complicated with hypoproteinemia has an effect on the effectiveness and cost of rehabilitation. Methods Thirty-one patients with osteoporosis diagnosed in the rehabilitation medicine department were collected and divided into two groups. Group A included 12 cases of osteoporosis complicated with hypoalbuminemia, and Group B included 19 patients 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: whether there is 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.

Keywords： Osteoporosis；Hypoproteinemia；Pain；Activity of daily living；Costs