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运动疗法预防绝经期女性骨质疏松骨折的临床实效性评价 被引量:8

Evaluation of the clinical effectiveness of movement therapy in prevention of osteoporotic fracture in postmenopausal women
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摘要 目的对运动疗法预防绝经期女性骨质疏松骨折的临床实效性进行观察与探讨。方法选择本医院自2011年5月—2012年6月接诊的PMO患者66例,根据研究要求并按照个人意愿将患者分为对照组和运动组,运动组患者在常规治疗基础上给予运动疗法,而对照组仅给予常规治疗。考察经运动干预后患者的骨密度变化,腰椎骨痛感和预后骨折发生概率。并利用SPSS19.0软件对2组差异进行统计学分析。结果运动组在治疗后12个月的骨密度较治疗前有明显上升,差异有统计学意义(P<0.05);对照组在也有上升,但是差异没有统计学意义(P>0.05)。经MP的干预治疗患者的骨痛改善指数明显降低,然而对照组的骨痛指数则出现增加。经t检验,运动组干预前后的差异具有统计学意义(P<0.05)。未经运动干预的对照组中骨折发生概率达30%,而经运动疗法干预治疗的骨折发生概率只有8.4%,其骨折的发生概率明显低于对照组,且差异具有统计学意义(P<0.05)。结论运动疗法对PMO患者的骨密度有很好的提升,并能改善患者的腰椎骨痛感以及减少骨折的发生概率。因此,运动疗法能够改善PMO的临床症状,值得在临床上推广。 Objective To observe and explore the effectiveness of the prevention of movement therapy in postmenopausal women with osteoporosis fractures. Methods 66 patients with PMO in the hospital from May 2011 to June 2012 were selected. Based on the requirements and in accordance with the wishes of individual,patients were divided into a control group and the exercise group. Exercise group accepted exercise therapy combined with conventional therapy,while the control group received conventional therapy. Examine the changes in bone mineral density in patients,the probability of a sense of pain and lumbar fracture prognosis after the movement therapy intervention. And differences between the two groups were analyzed by SPSS 19. 0. Results Bone mineral density increased significantly in the movement therapy group after 12 months of treatment. Also increased in the control group,but the difference was not significant( P〈0. 05). By MP's intervention to improve the patient's pain index was significantly reduced,however,the pain index in the control group appeared to increasing. By t test,it showed that the difference before and after the intervention exercise group was statistically significant( P〈0. 05). Without movement therapy intervention,the fracture probability was 30% in the control group,and after the fracture occurrence probability is only 8. 4% with movement therapy intervention. The probability of occurrence of fractures was significantly lower than the control group,and the difference was statistically significant( P〈0. 05). Conclusion Movement therapy was effective for PMO patients with good bone density increase,and can improve the patient's sense of lumbar pain and reduce the probability of fracture. Therefore,movement therapy can improve the clinical symptoms of the PMO,worth promoting in clinical practice.
出处 《中华全科医学》 2015年第2期196-198,共3页 Chinese Journal of General Practice
关键词 运动疗法 绝经期女性 骨质疏松 Movement therapy Postmenopausal women Osteoporotic fracture
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