健翔理筋推拿联合特立帕肽治疗老年性骨质疏松症临床观察  

Jianxiang Tendon Massage Combined with Teriparatide in the Treatment of Senile Osteoporosis

作　　者：苏嘉 刘嘉颖 吴芬 龙翔宇 何风春 SU Jia;LIU Jiaying;WU Fen;LONG Xiangyu;HE Fengchun(Department of Osteoporosis,Foshan Jianxiang Bone Injury Hospital,Guangdong Province,Foshan 528000,China;Orthopedics General Department,Foshan Hospital of Traditional Chinese Medicine,Guangdong Province,Foshan 528000,China;Clinical Medical College of Acupuncture Moxibusion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangdong Province,Guangzhou 510000,China;Department of Spine,The 7th Affiliated Hospital of Southern Medical University,Guangdong Province,Foshan 528000,China)

机构地区：[1]佛山健翔骨伤医院骨质疏松科,广东佛山528000 [2]佛山市中医院骨伤综合科,广东佛山528000 [3]广州中医药大学针灸康复学院,广东广州510000 [4]南方医科大学第七附属医院脊柱科,广东佛山528000

出　　处：《中国中医药现代远程教育》2025年第3期129-132,共4页Chinese Medicine Modern Distance Education of China

基　　金：广东省佛山市自然科学类社会组织发展扶持资金项目【No.佛科协函[2022]10号】;广东省佛山市卫生健康局医学科研课题项目【No.20230824A010470】;广东省佛山市科技创新资金项目【No.2017AG100232】;广东省中医药局科研项目【No.20232164】。

摘　　要：目的 观察健翔理筋推拿联合特立帕肽治疗老年性骨质疏松症的效果。方法 选择老年性骨质疏松症患者60例,分为对照组、治疗组,各30例。对照组予注射用重组特立帕肽治疗,治疗组予注射用重组特立帕肽联合健翔理筋推拿治疗,两组均连续治疗3个月。收集两组视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分、骨密度和血清骨代谢指标并进行统计学处理。结果 治疗后,治疗组VAS、ODI评分均低于对照组(P<0.01)。治疗后,治疗组骨密度指标值较治疗前改善,差异有统计学意义(P<0.05),而对照组骨密度值与治疗前比较差异无统计学意义(P>0.05)。治疗后,与对照组相比,治疗组骨钙素(BGP)及25羟基维生素D水平改善更显著,差异有统计学意义(P<0.01)。结论 对老年性骨质疏松症患者进行健翔理筋推拿联合特立帕肽治疗,能够提高骨密度、减轻疼痛并改善骨代谢指标,具有临床应用价值。Objective To observe the therapeutic effect of Jianxiang tendon mass age combined with teriparatide on senile osteoporosis.Methods A total of 60 patients diagnosed with senile osteoporosis were divided into control group and treatment group,with 30 cases in each group.The control group was treated with teriparatide,and the treatment group received teriparatide combined with Jianxiang tendon massage therapy.Both groups were treated continuously for three months.VAS scores,ODI scores,bone mineral density and serum bone metabolism indicators were collected from both groups and processed statistically.Results Afier treatment,VAS and ODI scores in the treatment group were lower than those in the control group(P<0.01).After treatment,BMD index values in the treatment group were improved compared with those before treatment,and the difference was statistically significant(P<0.05),while BMD values in the control group were not statistically significant compared with those before treatment(P>0.05).After treatment,osteocalcin(BGP)and 25-hydroxyvitamin D levels in the treatment group were significantly improved compared with the control group,and the difference was statistically significant(P<0.01).Conclusion Jianxiang tendon massage combined with teriparatide can improve bone mineral density,reduce osteoporosis pain,improve bone metabolism index,and has clinical application value.

关 键 词：老年性骨质疏松症 推拿疗法 特立帕肽 中西医结合疗法 

分 类 号：R58[医药卫生—内分泌]