针刺结合健康管理对高寒地区老年人群骨质疏松症的干预研究

Interventive Study on Health Management of Senile Osteoporosis in Alpine Region Combined with Acupuncture

目的:观察针刺结合健康管理对高寒地区老年骨质疏松人群的干预效果。方法:将研究对象60例随机分为两组,每组30人,并给予相应的干预措施:对照组给予受试对象定期健康教育并对其进行生活方式和心理干预;干预组在采取对照组措施基础上采取针刺干预,针刺取大椎、命门和双侧脾俞、太溪、足三里穴,采取提插捻转补法,每次针刺持续30 min,每日1次,5天为1个疗程。经过5个月的干预,观察两组患者在干预前后骨痛积分评定、骨密度测定等方面的变化情况及两组之间疗效的差异性。结果:经过5个月的治疗显示,两种干预方法在有效率方面有显著性差异(P<0.05);干预组在骨密度测定、临床症状的缓解等方面的效果明显优于对照组(P<0.05或P<0.01)。结论:针刺结合健康管理的方法对于老年骨质疏松症患者临床症状和骨疼痛缓解等方面的改善效果明显,是防治高寒地区老年人群骨质疏松症的有效方法。

Objective：To observe the effect of acupuncture combined with intervention of health management of senile osteoporosis in alpine region.Methods：60 patients were randomly divided into two groups,with 30 cases in each group,and they were given the corresponding interventive measures.The control group was given partici-pants regularly healthy education and interventin of the way of life and psychology;the intervention group was taken measures based on the control group,besides,adopting acupuncture intervention, acupuncture point selec-tion：Dazhui, Mingmen and bilateral Pishu, Taixi, Zusanli, taking lifting thrusting and twirling acupuncture re-inforcing method, each lasting 30 minutes, once a day, 5 days as one treatment course.Results：After 5 months of intervention, two groups were observed according to patients with differences in changes of bone pain rating scale score, bone density measurement and other aspects between two groups before and after intervention.The results showed that after 5 months of treatment, two kinds of intervention methods had a significant difference in efficiency （ P〈0.05）; the effects of the intervention group such as the determination of bone mineral density and the relief of clinical symptoms were significantly better than those of the control group （ P〈0 .05 or P〈0.01）.Conclusion：Acupuncture combined with health management method for senile osteoporosis patients has an obviously improved effect on clinical symptoms and bone pain relief and other aspects,which is an effective method for senile osteoporosis prevention in alpine region.