骨质疏松女性1455名运动行为分析  

Locomotor behavior analysis of 1 455 osteoporotic females

作　　者：何红晨[1] 罗庆禄[1] 孙效容 杨霖[1] 伍援朝[1] 熊恩富 谢薇[1] 何成奇[3] 

机构地区：[1]四川大学,华西医院康复医学科,华西临床医学院康复医学系,四川省成都市610041 [2]四川大学华西临床医学院医学技术系,四川省成都市610041 [3]四川大学华西医院康复医学科,康复医学四川省重点实验室,四川省成都市610041

出　　处：《中国组织工程研究与临床康复》2010年第20期3772-3775,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:早在1989年,世界卫生组织就提出预防骨质疏松的3大原则:补钙、运动疗法和饮食。然而,更多的人却把眼光放在补钙和饮食上,忽略了运动疗法在预防骨质疏松上的重要作用。目的:分析女性骨质疏松患者运动与腰椎骨密度相关性,进一步明确运动对人体腰椎骨密度的影响。方法:对2003-08/2005-12在四川大学华西医院康复科门诊及住院女性患者4383人,用双能X光机测定腰椎骨密度,根据骨密度T值评分,其中1455例为骨质疏松患者;并对运动时间进行问卷分级,分为经常运动385例、偶尔运动115例、不运动955例,用SPSS12.0统计软件比较不同运动时间与腰椎骨密度关系。结果与结论:3组骨质疏松患者L2、L3、L4骨密度、平均骨密度及T值均为经常运动组>不运动组>偶尔运动组,T值、平均骨密度组间比较差异有显著性意义(P<0.05),但骨密度组间比较差异无显著性意义(P>0.05),L2、L3、L4骨容量及骨总容量均为经常运动组>偶尔运动组>不运动组,但组间比较差异无显著性意义(P>0.05)。结果提示,女性骨质疏松患者其运动量增加可提高腰椎骨密度,但要明显提高腰椎骨密度需达到一定运动量。BACKGROUND： Since 1989, world health organization puts forward 3 principles to prevent from osteoporosis syndrome, including calcium supplement, exercise and diet. However, people appreciate calcium supplement and diet more than exercise. OBJECTIVE： To investigate the relationship between exercise and bone mineral density of lumbar vertebrae on osteoporotic females, and to definite the affection of exercise on bone mineral density of lumbar vertebrae. METHODS： Among 4 383 females who were in-patient or out-patient at department of rehabilitation in West China Hospital of Sichuan University, 1 455 females were diagnosed osteoporosis by dual-energy X-ray absorption measuring bone mineral density of lumbar vertebrae, and T value scoring; according to the questionnaire of their exercise time, they were 385, 115, 955 sugared with constantly exercise, occasionally exercise and no exercise, respectively, then exercise time was compared with their bone mass density of lumbar vertebrae by SPSS12.0. RESULTS AND CONCLUSION： Bone mineral density （BMD）, average BMD and T score of L2, L3 and L4 in the 3 groups were constantly exercise group no exercise group occasionally exercise group, the differences of T score and average BMD were significant （P 0.05）; but the difference of BMD was not signficiant （P 0.05）. The bone mineral content and total bone mineral content of L2, L3 and L4 was constantly exercise group occasionally exercise group no exercise group, but there were no significant differences（P 0.05）. Exercise, when reaches a certain amount, can enlarge BMD of lumbar vertebral of osteoporotic females.

关 键 词：女性 骨质疏松 运动 骨密度 骨组织工程 

分 类 号：R318[医药卫生—生物医学工程]