老年性骨质疏松患者经低频脉冲电刺激联合渐进性腰背肌功能锻炼的效果评价  

Effect Evaluation of Low Frequency Pulse Electric Stimulation Combined with Gradual Functional Exercises of Waist-Dorsal Muscles in the Treatment of Senile Osteoporosis

作　　者：区彩琼[1] 赵雪颜[1] 谢惠霞[1] 吴增志[1] 黎素因 李莹[1] 黄结妹 

机构地区：[1]佛山市高明区人民医院骨科,广东佛山528500

出　　处：《黑龙江医学》2017年第8期737-739,共3页Heilongjiang Medical Journal

基　　金：佛山市卫生和计生局医学科研课题项目(20160336)

摘　　要：目的探讨评价老年性骨质疏松患者经低频脉冲电刺激联合渐进性腰背肌功能锻炼的效果。方法选取2014-06—2016-06期间佛山市高明区人民医院骨科收治的156例老年性骨质疏松患者为实验对象,将其随机分为A组、B组和C组三组,每组52例,A组患者采取低频脉冲电刺激联合渐进性腰背肌功能锻炼进行治疗,B组患者仅采取单纯低频脉冲电刺激进行治疗,C组患者仅采取单纯渐进性腰背肌功能锻炼,每组均治疗2个疗程(8周),分别测定并比较在治疗前与治疗后14 d、30 d、60 d记录三组患者的视觉模拟疼痛评分(VAS)及腰椎骨密度(BMD)。结果 A组患者治疗后14d VAS评分为(5.21±1.47)分、30d VAS评分为(3.34±1.23)分、60d VAS评分(2.57±1.04)分均显著低于B、C两组,差异具有统计学意义(P<0.05);患者经不同治疗后,BMD较治疗前有了一定程度的提高,差异具有统计学意义(P<0.05);治疗后,A组患者BMD(0.89±0.14)g/cm2显著高于B组患者的(0.81±0.15)g/cm2、C组患者的(0.81±0.21)g/cm2,差异具有统计学意义(P<0.05)。结论采用低频脉冲电刺激联合渐进性腰背肌功能锻炼治疗老年性骨质疏松,能够有效改善患者腰背部疼痛情况,增加骨密度,患者预后恢复良好。Objective To evaluate the clinical efficacy of low frequency pulse electric stimulation combined with gradual functional exercises of waist-dorsal muscles in the treatment of senile osteoporosis. Methods 156 cases of senile osteoporosis patients in Gaoming District People＇s Hospital from June,2014 to June,2016 were selected and were randomly divided into group A（ n = 52）,group B（ n = 52）,group C（ n = 52）. Group A was treated with low frequency pulse electric stimulation combined with gradual functional exercises of waist-dorsal muscles. Group B was treated with low frequency pulse electric stimulation. Group C was treated with gradual functional exercises of waist-dorsal muscles. Each group received 2 courses of treatment（ 8 weeks）. Visual analogue scale（VAS） and bone mineral density（ BMD） before treatment and 14 d,30d and 60 d after treatment were compared among the three groups. Results VAS of 14 d,30d and 60 d after treatment in group A were（ 5. 21 ± 1. 47）,（ 3. 34 ± 1. 23） and（ 2. 57 ± 1. 04）,which were significantly lower than those in group B and group C（ P〈0. 05）; BMD was increased significantly in each group after treatment（ P〈0. 05）; After treatment,BMD of group A was（ 0. 89 ± 0. 14） g/cm^2,which was significantly lower than（ 0. 81 ±0. 15） g/cm^2 of group B and（ 0. 81 ± 0. 21） g/cm^2 of group C（ P〈0. 05）. Conclusion Low frequency pulse electric stimulation combined with gradual functional exercises of waist-dorsal muscles can relieve the pain of patients,improve the patients＇ bone density of senile osteoporosis patients,and has good prognosis.

关 键 词：老年性骨质疏松 低频脉冲电刺激 渐进性腰背肌功能锻炼 

分 类 号：R681.55[医药卫生—骨科学]