少阳经“输刺”联合渐进抗阻训练对老年性骨质疏松患者的临床疗效观察  

Observation on the clinical efficacy of Shaoyang meridian"Shu needling"combined with progressive resistance training in patients with senile osteoporosis

作　　者：吴碧雯 陈斌 WU Biwen;CHEN Bin(Department of Rehabilitation,Longsai Hospital of Zhenhai District in Ningbo City,Zhejiang,Ningbo 315200,China)

机构地区：[1]浙江省宁波市镇海龙赛医院康复科,浙江宁波315200

出　　处：《中国医药科学》2024年第23期104-107,共4页China Medicine And Pharmacy

基　　金：浙江省宁波市镇海区医学重点学科建设项目(202205);浙江省宁波市镇海区公益类科技计划项目(2021S0907)。

摘　　要：目的观察少阳经“输刺”联合渐进抗阻训练对老年性骨质疏松(SOP)患者的影响。方法选取宁波市镇海龙赛医院2021年10月至2023年8月诊治的SOP患者60例,采用随机数表法分为少阳经“输刺”+渐进抗阻训练组(观察组)和渐进抗阻训练组(对照组),且均口服基础药物治疗。比较治疗前、治疗后及随访时Ⅰ型前胶原氨基端延长肽(PINP)、Ⅰ型胶原羧基端肽β特殊序列(β-CTx)、骨特异性碱性磷酸酶(BALP)、甲状旁腺激素(PTH)、维生素D、视觉模拟评分法(VAS)、肌力、Berg平衡量表(BBS)、汉密尔顿抑郁量表(HAMD)水平。结果两组在治疗后及随访时,PINP、β-CTx、BALP、维生素D、PTH较前有所变化(P<0.05),其中观察组在治疗后及随访时PINP、PTH、β-CTx的改善优于对照组(P<0.05)。两组在治疗后及随访时,VAS、BBS、HAMD、肌力较前有所变化(P<0.05),观察组治疗后BBS改善程度优于对照组(P<0.05),随访时两组BBS差异无统计学意义(P>0.05)。随访时,观察组HAMD优于对照组(P<0.05),两组VAS、BBS、肌力差异无统计学意义(P>0.05)。结论少阳经“输刺”联合渐进抗阻训练能改善SOP患者骨代谢指标,调节内分泌水平,减轻疼痛,改善关节活动度及平衡功能,增强肌力,缓解患者抑郁情绪。Objective To observe the effect of Shaoyang meridian"Shu needling"combined with progressive resistance training on patients with senile osteoporosis(SOP).Methods A total of 60 patients with SOP diagnosed and treated in Longsai Hospital of Zhenhai District in Ningbo City from October 2021 to August 2023 were selected.They were divided into the Shaoyang meridian"Shu needling"+progressive resistance training group(the observation group)and the progressive resistance training group(the control group)using the randomized numerical table method,and all of them received basic oral drug treatment.The propeptide of typeⅠprocollagen(PINP),typeⅠcollagen carboxy-terminal peptideβ-special sequence(β-CTx),bone specific alkaline phosphatase(BALP),parathyroid hormone(PTH),vitamin D,visual analogue scale(VAS),muscular strength,Berg balance scale(BBS),and Hamilton depression scale(HAMD)were compared before and after treatment,and at follow-up.Results The PINP,β-CTx,BALP,vitamin D,and PTH changed after treatment and at follow-up compared with those before treatment in both groups(P<0.05),with the improvement in PINP,PTH,andβ-CTx greater in the observation group than that in the control group after treatment and at follow-up(P<0.05).The VAS,BBS,HAMD,and muscle strength changed after treatment and at follow-up compared with those before treatment in both groups(P<0.05),with the improvement in BBS greater in the observation group than that in the control group after treatment(P<0.05)and no significant difference in BBS between the two groups at the follow-up(P>0.05).During follow-up,the HAMD of the observation group was better than that of the control group(P<0.05),while there was no statistically significant difference in VAS,BBS,and muscle strength between the two groups(P>0.05).Conclusion Shaoyang meridian"Shu needling"combined with progressive resistance training can improve bone metabolism indexes of patients with SOP,regulate the endocrine level,reduce pain,improve joint mobility and balance function,enhance muscle stren

关 键 词：骨质疏松症 渐进抗阻训练 针刺 少阳经 

分 类 号：R259[医药卫生—中西医结合]