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作 者:陈少华[1] 赖培茜 林定坤[1] 陈博来[1] 傅秀珍[1] CHEN Shaohua;LAI Peiqian;LIN Dingkun;CHEN Bolai;FU Xiuhen(Guangdong Prowincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,China)
机构地区:[1]广东省中医院,广州510120
出 处:《实用医学杂志》2021年第3期400-404,409,共6页The Journal of Practical Medicine
基 金:国家中医临床研究基地业务建设第二批科研专项立项(编号:JDZX2015081);广东省科技厅专项资金项目计划(编号:2017ZC0184);广东省中医药局科研项目(编号:20182054)。
摘 要:目的探讨林氏健体八段功对骨质疏松患者(osteoporosis,OP)平衡功能及生活质量的影响。方法将300例骨质疏松患者随机分为对照组与观察组各150例。对照组给予钙剂+维生素D的常规治疗,观察组在基础治疗上联合八段功锻炼,观察周期为6个月。两组患者均于干预前、干预后6个月采用平衡量表(TUG、BBS)评价平衡能力,采用生活质量量表(SF-36)评价生活质量,采用双能X线骨密度仪测量骨密度的变化。结果干预6个月后,两组患者BBS、TUG评分治疗前后差值的组间比较差异有统计学意义(P<0.05);两组在改善生理功能、生理职能、身体疼痛、总体健康、活力及情感职能等方面差异具有统计学意义,观察组优于对照组(P<0.05);两组在改善腰椎骨密度方面,组间比较差异具有统计学意义,观察组优于对照组(P<0.05),两组髋部骨密度的改善差异无统计学意义(P>0.05)。结论钙剂+维生素D的常规治疗和常规治疗联合林氏健体八段功均可提高骨质疏松症患者的平衡能力,八段功联合药物治疗对患者平衡能力的影响更显著,患者生活质量得到明显提高。Objective To explore the effect of eight-section brocade combined with herbal tea on balance function and quality of life in patients with osteoporosis.Methods 300 patients with osteoporosis who met the exclusion criteria were divided into control group(n=150)and test group(n=150).The control group-was given basic treatment(calcium+vitamin D),and the experimental group was treated with eight-section brocade in the basic treatment for 6 months.The changes of balance scale(TUG,BBS),quality of life scale(SF-36),bone mineral density and bone metabolism index were observed before and after treatment.Results The difference between the two groups in BBS and TUG scores before and after treatment was statistically significant(P<0.05)in6 months.The experimental group is superior to the control group in improving physiological function,body pain,overall health,vitality and emotional function(P<0.05).The experimental group was better than the control group in improving the bone mineral density of the lumbar(P<0.05).There was no significant difference in hip bone mineral density improvement between groups(P>0.05).Conclusion Both basic treatment and combination therapy can improve the balance ability of osteoporosis patients.The effect of combined drug therapy on the balance ability of patients was equal,but the quality of life of patients was significantly improved.
分 类 号:R274.9[医药卫生—中西医结合]
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