摘要
目的探讨常规疗法结合导引功法对绝经后骨质疏松症患者的治疗效果。方法选取2021年1-10月在黑龙江省牡丹江林业中心医院治疗的绝经后骨质疏松症患者90例为研究对象,采取随机数表法将患者分为常规治疗组和导引功法组,每组各45例。常规治疗组口服盐酸雷洛昔芬+碳酸钙D_(3),导引功法组增加导引功法治疗。比较两组患者治疗前后的骨密度、骨代谢指标和中医症候评分。结果治疗后,导引功法组患者腰椎正位(L_(1)~L_(4))骨密度为(0.88±0.08)g/cm^(2),左股骨颈骨密度为(0.80±0.09)g/cm2,均高于常规治疗组的(0.81±0.06)g/cm^(2)和(0.76±0.10)g/cm^(2)。导引功法组骨钙素为(6.95±1.00)μg/L,高于常规治疗组的(6.22±0.98)μg/L,Ⅰ型前胶原氨基端前肽为(52.39±4.72)ng/ml,低于常规治疗组的(58.15±7.26)ng/ml。导引功法组中医症候评分为(8.35±2.00)分,低于常规治疗组的(10.74±3.41)分,差异均有统计学意义(P<0.05)。结论常规疗法结合导引功法有效提高了绝经后骨质疏松症患者的治疗效果。
Objective To explore the therapeutic effect of conventional therapy com bined with Daoyin practice on postmenopausal osteoporosis patients.Methods A total of 90 patients with postmenopausal osteoporosis treated in Heilongjiang Mudanjiang Forestry Center Hospital from January to October 2021 were s elected as the study subjects,and were divided into the conventional therapy group and the Daoyin practice group according to the random number table method,with 45 patients in each group.Patients in the conventional treatment group were orally administrated with raloxifene hydrochloride+calcium carbonate D_(3).The Daoyin practice group received Daoyin practice therapy on the bas is of regimen of the conventional treatm ent group.The bone mineral density(BMD),bone m etabolism indexes and traditional Chines e medicine syndrome score(TCMSS)before and after treatment of the two groups were compared.Results After treatment,the BMD of the lumbar spine(L_(1)-L_(4))from anteroposterior projections and of the left femoral neck in the Daoyin practice group(0.88±0.08)g/cm^(2) and(0.80±0.09)g/cm^(2) were higher than those in the conventional treatment group(0.81±0.06)g/cm^(2) and(0.76±0.10)g/cm^(2),the osteocalcin level in the Daoyin practice group(6.95±1.00)μg/L was higher than that in the conventional treatment group(6.22±0.98)μg/L,the procollagen typeⅠamino-terminal propeptide(52.39±4.72)ng/ml was lower than that in the conventional treatment group(58.15±7.26)ng/ml,and the TCMSS in the Daoyin practice group(8.35±2.00)was lower than that in the conventional treatment group(10.74±3.41),all with statistically significant differences(P<0.05).Conclusion The conventional therapy combined with Daoyin practice can effectively improve the therapeutic effect on postmenopausal osteoporosis patients.
作者
谢伟
庄天微
朱冬雪
王彤彤
王玉莹
战艺
XIE Wei;ZHUANG Tianwei;ZHU Dongxue;WANG Tongtong;WANG Yuying;ZHAN Yi(Orthopedic WardⅣ,Heilongjiang Mudanjiang Forestry Center Hospital,Heilongjiang,Mudanjiang 157000,China;Department of Endocrinology,Hongqi Hospital Affiliated to Mudanjiang Medical University,Heilongjiang,Mudanjiang 157000,China;Department of Rheumatology and Immunology,Hongqi Hospital Affiliated to Mudanjiang Medical University,Heilongjiang,Mudanjiang 157000,China)
出处
《中国医药科学》
2022年第22期68-71,共4页
China Medicine And Pharmacy
关键词
盐酸雷洛昔芬
碳酸钙D3
导引功法
绝经后骨质疏松症
Raloxifene hydrochloride
Calcium carbonate D 3
Daoyin practice
Postmenopausal osteoporosis
