以防跌倒体操为主的综合干预改善绝经后妇女骨密度与跌到风险的效果观察  

Observation on effect of fall-prevention gymnastics-based comprehensive intervention on improving bone density and risk of fall in postmenopausal women

作　　者：杨爱萍[1] 王君俏[2] 刘邦忠[3] 刘光华[3] 袁春兰 

机构地区：[1]上海健康职业技术学院 [2]复旦大学护理学院 [3]复旦大学附属中山医院 [4]上海松江九亭社区卫生服务中心

出　　处：《护理研究（上旬版）》2011年第9期2269-2272,共4页Chinese Nursing Researsh

摘　　要：[目的]探讨以防跌倒体操为主的综合干预项目对改善绝经后妇女平衡能力、肌力和骨健康的有效性。[方法]将60名市郊绝经后妇女按居住区随机分为干预组和对照组,干预组接受为期6个月的以防跌倒体操为主的社区综合干预,对照组接受常规宣教,并分别于干预前、干预6个月后测量骨密度、下肢肌力和平衡功能,评价其效果。[结果]①干预组6个月后肌力各项指标(除120度峰力矩外)均显著高于干预前(P<0.05或P<0.01),而对照组肌力在干预前后无明显变化(P>0.05)。②干预组6个月后平衡功能各项指标与干预前相比无明显下降(P>0.05),但对照组6个月后闭眼轨迹长及闭眼动摇能耗值高于干预前(P<0.05)。③干预组6个月后腰椎和股骨各部位的骨密度无明显改变(P>0.05);而对照组第3腰椎和股骨颈的骨密度明显低于干预前(P<0.05)。[结论]以防跌倒体操为主的综合干预措施的实施,不仅可显著增强绝经后妇女的下肢肌力,稳定平衡功能,并有助于防止和延缓骨量丢失,维持骨健康,降低跌倒风险。Objective：To probe into the effect of comprehensive intervention mainly as fall-prevention gymnastics on improvement of balance ability,muscle strength and bone health of postmenopausal women.Methods： A total of 60 suburban postmenopausal women were randomly divided into intervention group and control group according to their area of residence.Women of intervention group received 6 months of fall-prevention gymnastics as comprehensive intervention in community.Women of control group received health education as in routine.Then bone density,muscle strength of lower limbs and balance function of all cases were measured and evaluated before intervention and 6 months after intervention respectively.Results：①All muscle strength indexes（except the 120 degree peak momental） of women in intervention group 6 months later were significantly higher than that of before intervention（P0.05 or P0.01）.However,muscle strength of women in control group had no significant changes between before and after the intervention（P0.05）.②All indexes of balance function of women in intervention groups 6 months after the intervention had no obvious descending compared with that of before intervention（P0.05）.Both eye closed trajectory length and eye closed sway energy consumption of control group women after 6 months were higher than that of before the intervention（P0.05）.③Bone density in each part of lumbar vertebra and femorals of women in intervention group after 6 months of intervention had no obvious changes compared with that of before the intervention（P0.05）.However,the bone density of L3 vertebral and femoral neck of control group women was lower than that of before intervention（P0.05）.Conclusion：To carry out fall-prevention gymnastics based comprehensive intervention measures not only can significantly enhance in postmenopausal women of lower extremity muscle strength.It can stabilize their balance function,and contribute to the prevention and retardation of bone loss.It can maintain bone heal

关 键 词：绝经后妇女 骨质疏松 骨密度 下肢肌力 平衡功能 

分 类 号：R580[医药卫生—内分泌]