八珍汤联合基础干预治疗老年肌少症临床疗效观察  

Clinical effect observation of Bazhen soap combined with basic interven-tion in the treatment of elderly sarcopenia

作　　者：任璇璇[1] 姚惠[1] 汪涛[1] 

机构地区：[1]浙江医院中医科,浙江杭州310017

出　　处：《中国现代医生》2016年第16期127-130,共4页China Modern Doctor

基　　金：浙江省中医药管理局资助项目(2016ZA019)

摘　　要：目的探讨应用八珍汤联合营养支持、体育锻炼治疗老年肌少症的临床疗效。方法选择2014年12月～2015年12月在我院就诊的肌少症患者90例，随机分为治疗组和对照组，两组均应用基础干预即营养支持与体育锻炼，治疗组同时采用八珍汤为基础方加减，总疗程为12周，比较两组的疗效及两组患者治疗前后肌量、肌力、肌功能的变化。结果治疗组总有效率93．33％，高于对照组的75．56％，组间比较，差异有统计学意义（P〈0．05）。治疗前，两组患者的肌量、肌肉力量及肌肉功能比较，差异无统计学意义（P〉0．05）；治疗后，两组患者的肌肉质量、肌肉力量、肌肉功能较治疗前显著提高，且治疗组患者的肌肉质量、肌肉力量和肌肉功能改善显著优于对照组，差异有统计学意义（P〈0．05）。结论八珍汤联合营养支持、体育锻炼治疗老年肌少症疗效确切，可以显著改善患者的肌肉质量、肌肉力量和肌肉功能，提高了临床治疗效果，值得进一步推广和应用。Objective To investigate the clinical effect of Bazhen Soap combined with nutritional support as well as physical exercise in the treatment of elderly sarcopenia. Methods 90 patients with sarcopenia who were treated in our hospital from December 2014 to December 2015 were selected and divided into treatment group and control group ran- domly. Basic intervention such as nutritional support and physical exercise was given to the patients from both groups and basic prescription of Bazhen Soap was additionally given to the patients from treatment group with the treatment course of 12 weeks. The changes of muscular volume, muscular strength and muscular function before and after the treatment of the patients from both groups were compared. Results The total effective rate of treatment group was 93.33%, higher than that of the control group （75.56%）, and statistical significance was presented in the differences（P〈 0.05）. No statistical significance was presented in the differences of the muscular volume, muscular strength and muscu- lar function before treatment （P〉0.05）; the muscular volume, muscular strength and muscular function of the patients from both groups after the treatment were improved obviously and the improvement of the treatment group was obvious- ly better than that of the control group and statistical significance was presented in the differences（P〈0.05）. Conclusion The Bazhen Soap combined with nutritional support and physical exercise has definite treatment effect, improve the muscular volume, muscular strength and muscular function obviously and increase clinical effect, which deserves rec- ommendation and application.

关 键 词：老年肌少症 肌肉质量 肌肉力量 肌肉功能 八珍汤 基础干预 

分 类 号：R243[医药卫生—中医临床基础]