[Clinical characteristics and medicinal analysis for osteoporosis based on real world]

Zhongguo Zhong Yao Za Zhi. 2016 May;41(10):1940-1946. doi: 10.4268/cjcmm20161030.
[Article in Chinese]

Abstract

To understand the actual clinical situation of osteoporosis patients in our country, 9 731 hospitalized patients with osteoporosis from HIS system of 20 national 3A-grade hospitals were selected as the research objects to analyze their general information, western medicine combined diseases, diagnostic information, relationship with the onset of 24 solar terms, and the therapeutics application. Results showed that the median age of hospitalized patients with osteoporosis disease was 72 years old, more common in women aged 60 to 74; mainly in manual workers (73.87%); most in general outpatient clinic during the admission; conditions of the most patients (81.61%) were general during hospital admission; patients were more likely hospitalized from orthopaedics department (21.94%); hospital length of stay was mainly of 8-14 days (39.96%); 34.34% of the patients had a total hospitalization cost of 5 000 yuan to 10 000 yuan; 75.01% of the patients were beneficial from national health medical insurance. The complications mainly included hypertension, diabetes, and osteoarthritis, and the complication rate was as high as 34.67% for hypertension; the most common traditional Chinese medicine syndrome was deficiency of liver-Yin and kidney-Yin (36.62%); the patients were admitted to the hospital most during 3 solar terms: beginning of summer, summer solstice and cold dew. Calcitonin salmon and calcium carbonate were most widely used in western medicine and Zhengqing Fengtongning was most widely used in traditional Chinese medicine. In conclusion, osteoporosis is more common in elderly patients, and is closely related to solar terms; integrated treatment strategies of traditional Chinese medicine and western medicine can be widely used in clinical application and have certain advantages.

Keywords: hospital information system; osteoporosis; real world study; solar terms.

MeSH terms

  • Aged
  • China / epidemiology
  • Diabetes Mellitus / epidemiology
  • Female
  • Hospitals
  • Humans
  • Hypertension / epidemiology
  • Length of Stay
  • Male
  • Medicine, Chinese Traditional
  • Osteoarthritis / epidemiology
  • Osteoporosis / drug therapy
  • Osteoporosis / epidemiology*