早期应用PNF技术联合药物治疗对老年脑卒中后偏瘫患者骨质疏松的效果研究  

Effect study on early application of PNF technology combined with drug therapy for osteoporosis in elderly patients with hemiplegia after stroke

作　　者：刘晓春[1] 钱江[1] 刘贞仔 温优良[1] 唐小冬[1] 

机构地区：[1]赣南医学院第三附属医院赣南医学院附属康复医院,江西赣州341000

出　　处：《中国当代医药》2016年第8期34-36,共3页China Modern Medicine

基　　金：江西省赣州市科技局课题(GZ2015ZSF313)

摘　　要：目的探讨早期应用神经肌肉本体促进技术（PNF）联合药物治疗对老年脑卒中后偏瘫患者骨质疏松的预防作用。方法 选择本院2014年1月~2015年4月住院治疗的80例脑卒中后偏瘫患者作为研究对象,随机分为治疗组和对照组,每组40例。两组均接受PNF技术,治疗组联合采用降钙素、碳酸钙D3抗骨质疏松治疗,对照组未进行任何抗骨质疏松药物治疗,检测、比较两组患者治疗前（入组时）、治疗8周后偏瘫侧股骨近端Ward三角、第1腰椎、桡骨远端的骨密度。结果 两组患者治疗前3个检测部位的骨密度差异无统计学意义（P〉0.05）。治疗组、对照组治疗8周后的上述指标与治疗前差异有统计学意义（P〈0.01、P〈0.05）。治疗组治疗8周后的上述指标较对照组明显升高,差异有统计学意义（P〈0.05）。结论 脑卒中后偏瘫患者应尽早进行康复训练,联合抗骨质疏松药物治疗比单纯康复训练可显著增加骨密度,预防继发性骨质疏松的效果更佳。Objective To discuss the preventive effect of early application of proprioceptive neuromuscular facilitation （PNF） technology combined with drug therapy for osteoporosis in elderly patients with hemiplegia ＇after stroke. Methods 80 patients with hemiplegia after stroke treated by our hospital from January 2014 to April 2015 were selected and randomly divided into treatment group and control group,and there were 40 patients in each group.Patients in both groups were treated by PNF technology,and treatment group was added calcitonin and calcium carbonate D3 for anti-os- teoporosis therapy,while control group was given no anti-osteoporosis therapy.The bone mineral density （BMD） of the affected side at proximal femur Ward triangle,distal radius,and the 1st lumbar vertebra was detected and compared re- spectively before treatment （when entering the groups） and after 8 weeks treatment. Results There was no significant difference in BMD of all the three detected sites between two groups before treatment （P〉0.05）.There was a statistical difference of above-mentioned indexes after 8 weeks treatment compared with before treatment in treatment group and control group （P〈0.01,P〈0.05）.Above-mentioned indexes after 8 weeks treatment in treatment group was significantly increased compared with control group,and there was a statistical difference （P〈0.05）. Conclusion Rehabilitation training should be conducted as early as possible for patients with hemiplegia after stroke.Combination with anti-osteoporosis therapy is more effective in obvious increase of BMD and prevention of secondary osteoporosis.

关 键 词：脑卒中 偏瘫 骨质疏松 神经肌肉本体促进技术 药物治疗 骨密度 

分 类 号：R743.3[医药卫生—神经病学与精神病学]