中药足浴联合八段锦治疗阳虚质骨质疏松症的临床观察  

Clinical Observation on Chinese Materia Medica Foot Bath Combined with Baduanjin in the Treatment of Yang Deficiency Osteoporosis

作　　者：陈世洲 孙玉明[1] 蒋东明[1] 曹鲁梅[1] 秦龙秀 郑泽鹏 林亚静 毛国庆[1] CHEN Shizhou;SUN Yuming;JIANG Dongming;CAO Lumei;QIN Longxiu;ZHENG Zepeng;LIN Yajing;MAO Guoqing(Jiangsu Hospital of Traditional Chinese Medicine,Nanjing,Jiangsu 210029,China)

机构地区：[1]江苏省中医院,江苏南京210029

出　　处：《湖南中医药大学学报》2020年第11期1396-1400,共5页Journal of Hunan University of Chinese Medicine

基　　金：江苏省研究生培养创新工程项目(SJCX19_0405);第四批全国中医优秀人才研修项目(J20184832009);江苏省中医传统运动康复技术项目(K2017ykf08)。

摘　　要：目的观察中药足浴联合八段锦功法治疗阳虚质骨质疏松症(osteoporosis,OP)患者的临床疗效。方法将80例阳虚质OP患者按随机数字表法分为治疗组及对照组各40例。两组患者均予钙尔奇加骨化三醇基础抗骨质疏松治疗,对照组加用中药足浴治疗,治疗组在对照组基础上增加八段锦功法锻炼,疗程6个月。检测两组患者治疗前后腰椎1-4(lumbar spine 1-4,L1-4)、股骨颈骨密度(bone mineral density,BMD)、血清钙(calcium,Ca)、血磷(phosphorus,P)、1型前胶原氨基端肽水平(type 1 procollagen amino terminal peptide,P1NP)及β-1型胶原羧基末端肽交联(β-cross-linked C-terminal telopeptide of type 1 collagen,β-CTX)的变化情况;观察比较两组患者治疗前后视觉模拟疼痛(visual analoge scale,VAS)评分、阳虚症状积分及肢体功能活动状况(short physical performance battery,SPPB)评分。结果治疗6个月后,治疗组L1-4及股骨颈BMD、血Ca、P水平、SPPB评分显著高于治疗前及对照组(P<0.05),P1NP及β-CTX水平、VAS评分、阳虚症状积分显著低于治疗前及对照组(P<0.05)。结论中药足浴联合八段锦功法可以显著减轻阳虚质OP患者疼痛、增强肢体功能活动能力、改善患者体质状态、提高BMD,对阳虚质OP有较好的临床疗效。Objective To observe the clinical effects of Chinese materia medica foot bath combined with Baduanjin exercise in the treatment of osteoporosis with Yang deficiency.Methods A total of 80 patients with osteoporosis of Yang deficiency were divided into a treatment group and a control group according to random number table,with 40 cases in each group.Both groups of patients were given calci plus calcitriol basic anti-osteoporosis treatment.The control group was added Chinese materia medica foot bath,while the treatment group was treated with Baduanjin exercise on the basis of the control group.The study lasted for 6 months.The changes of the levels of lumbar spine 1-4(L1-4),bone mineral density(BMD),serum calcium(Ca),phosphorus(P),type 1 procollagen amino terminal peptide(P1NP)and β-cross-linked C-terminal telopeptide of type 1 collagen(β-CTX)were measured before and after treatment in both groups.The Visual Analoge Scale(VAS)scores Yang deficiency symptom scores,and short physical performance battery(SPPB)scores of the 2 groups were observed and compared before and after treatment.Results After 6 months of treatment,L1-4 and femoral neck BMD,blood Ca,P levels,SPPB scores in the treatment group were significantly higher than those before treatment and the control group(P<0.05).P1NP and β-CTX levels,VAS scores,Yang deficiency symptom score were significantly lower than before treatment and the control group(P<0.05).Conclusion Chinese materia medica foot bath combined with Baduanjin can significantly relieve pain,enhance limb function,improve physical condition,increase bone mineral density in patients with osteoporosis of Yang deficiency.It has a better clinical effects on osteoporosis with Yang deficiency.

关 键 词：骨质疏松症 阳虚质 中药足浴 八段锦 骨密度 骨代谢 

分 类 号：R255.6[医药卫生—中医内科学]