大成拳摩擦步对绝经后女性骨质疏松症患者骨密度及骨代谢的影响  

Effect of Dachengquan Friction Step on Bone Mineral Density and Bone Metabolism in Postmenopausal Women with Osteoporosis

作　　者：庞江娜 武永富[2] 梁芳[1] 王江泳[2] 赵旭兰[1] 范亚坤[1] 周艳艳 张灿 Pang Jiangna;Wu Yongfu;Liang Fang;Wang Jiangyong;Zhao Xulan;Fan Yakun;Zhou Yanyan;Zhang Can(Department of Geriatrics,the First Hospital of Shijiazhuang,Shijiazhuang 050000,China;Department of Geriatrics,the Second Hospital of Shijiazhuang,Shijiazhuang 050000,China)

机构地区：[1]河北省石家庄市第一医院老年病科,中国石家庄050000 [2]河北省石家庄市第三医院老年病科,中国石家庄050000

出　　处：《国际老年医学杂志》2018年第4期172-175,共4页International Journal of Geriatrics

基　　金：2015年河北省医学科研重点计划(20150913)

摘　　要：目的探讨大成拳摩擦步对绝经后女性骨质疏松症患者骨密度及骨代谢的影响。方法选取2013年1月-2014年1月石家庄市第一医院与石家庄市第三医院收治的绝经期后骨折伴骨质疏松的女性患者42名，随机分为实验组和对照组。实验组患者接受外科干预序贯口服药物联合练习大成拳摩擦步治疗，对照组患者单纯接受外科干预序贯口服药物治疗。治疗12个月后进行左侧股骨颈、腰椎和左侧跟骨的骨密度测定，同时测定血清钙、磷、骨钙素（BGP）和碱性磷酸酶（ALP），以评估疗效。结果实验组患者左侧股骨颈、腰椎及左侧跟骨的骨密度测定为（0．871±0．02）g／m^2、（0．932±O．04）g／m^2和（0．845±0．03）g／m^2；对照组患者依次为（0．631±0．01）g／m^2、（0．731±0．01）g/m^2和（0．611±0．04）g／m^2，比较差异均有统计学意义（P〈0．05）。两组患者治疗后血磷和血钙测定值的比较，差异无统计学意义（P〉0．05）。实验组BGP和ALP分别为（5．12±1．02）μg／L、（61．23±5．39）U／L，对照组依次为（8．38±1．38）μg／L、（80．87±4．39）U／L，比较差异均有统计学意义（P〈0．05）。结论练习大成拳摩擦步治疗绝经后女性骨质疏松症疗效较好，可以明显改善患者的骨密度和骨代谢水平，并且大成拳摩擦步易于学习，纯粹物理性锻炼，可以在全社会进行推广。Objective To investigate the effect of Dachengquan （Will boxing） friction step on the bone mineral density and bone metabolism in postmenopausal women with osteoporosis. Methods From January 2013 to January 2014, 42 female patients with postmenopausal fracture complicated with osteoporosis were selected from the first and third hospital of Shijiazhuang. They were randomly divided into the experimental group and the control group. The patients in the experimental group received surgical interven- tion, sequential oral medication and exercise of Will boxing frictional step. The control group only received surgical intervention and sequential oral medication. 12 months after treatment, the bone mineral density in the left femoral neck, lumbar vertebra and calca- neus were examined. The serum calcium, phosphorus, osteocalcin （BGP） and alkaline phosphatase （ALP） were measured. Re- suits Bone mineral density in the left femoral neck, lumbar spine and the left calcaneus were （0. 871± 0. 02） g/m^2 , （0. 932 ± 0. 04） g/m^2 and （0. 845 ±0. 03） g/m^2 respectively in the experimental group, （0. 631 ±0. 01） g/m^2, （0. 731 ±0. 01 ） g/m^2 and （0. 611 ±0. 04） g/m^2 respectively in the control group. There were significant differences between two groups （P 〈 0. 05）. There were no significant differences in serum phosphorus and ealcium between two groups （P 〉0. 05）. BGP and ALP levels were （5. 12 ±1.02） μg/L and （61.23 ±5.39） U/L respectively in the experimental group, （8.38 ± 1.38） μg/L and （80. 87 ±4. 39） U/L re- spectively in the control group. There were significant differences between two groups （ P 〈 0. 05）. Conclusion The practice of Will boxing friction step has good therapeutic effect in postmenopausal women with osteoporosis. It can improve the bone mineral density and bone metabolism significantly.

关 键 词：绝经后女性 骨质疏松症 骨密度 骨代谢 

分 类 号：R580[医药卫生—内分泌]