华佗五禽戏锻炼对老年性骨质疏松患者骨代谢的影响

Effect of HUA Tuo's frolics of fi ve animals on the patients with senile osteoporosis

目的:探讨华佗五禽戏锻炼对老年性骨质疏松患者骨代谢的影响。方法:将200例老年性骨质疏松患者(年龄>60岁)完全随机分成试验组和对照组,每组100例。试验组予以华佗五禽戏锻炼,对照组予以布洛芬缓释胶囊、碳酸钙D3片,于试验前、试验后2个月、6个月结束对两组患者骨代谢指标、腰背痛评分的变化情况进行观察研究和统计学分析。结果:试验6个月后试验组腰背痛评分明显低于对照组(P<0.05)。骨代谢相关指标两组差异无统计学意义。但试验组血清骨钙素、碱性磷酸酶水平呈增高趋势,尿吡啶啉含量试验组较对照组呈降低趋势。结论:华佗五禽戏对老年性骨质疏松患者骨代谢的影响有积极作用,能有效改善和缓解老年性骨质疏松腰背痛,并且可以在一定程度上促进骨形成,减缓骨吸收,是防治原发性骨质疏松症的有效方法,值得社区推广应用。

Objective： To investigate the effect of Hua Tuo＇s frolics of five animals on the patients with senile osteoporosis. Methods： 200 cases （ the elderly aged 60 or over） were randomly divided into a treatment group （100 cases） and a control group （100cases）. The people in the treatment group exercised Huo Tuo＇s frolics of five animals while the control group was treated with Ibuprofen Sustained Release Capsules （Fenbid） and calcium Carbonate and Vitamin D3 Tablets. Statistics on the 200 cases＇ bone metabolism and low back pain score were collected and analyzed before, two months and six months after the study. Results： Six months later, low back pain score of the cases in the treatment group was obviously increased, compared to that of the control group with a significant difference （P〈0.05）. Meanwhile, though there was no significant difference between the two groups＇ figures related to bone metabolism, patients in the control group showed an increase in serum osteocalcin （BGP） and alkaline phosphatase （ALP） alongside with a reduction in the level of Pyridinoline （PYD）. Conclusion： Practicing Huo Tuo＇s frolics of five animals is positive to the bone metabolism of the senile osteoporosis patients and can effectively relieve and improve the low back pain syndromes of the senile osteoporosis patients. To a certain degree, this exercise can also increase bone formation and decrease bone resorption. It is an effective way to prevent the senile osteoporosis disease and deserved carrying out in communities.