补肾强骨方配合健腰操治疗老年骨质疏松症患者腰痛的疗效观察

Clinical observation of Bushen Qianggu decoction combined with waist-strengthening exercises on senile osteoporosis lumbago

目的观察补肾强骨方配合健腰操治疗老年性骨质疏松症(SOP)患者腰痛的临床疗效。方法 80例SOP患者随机分为治疗组和对照组,每组各40例。治疗组接受补肾强骨方配合健腰操治疗,对照组接受补肾强骨方治疗,疗程为3个月。观察并记录两组患者治疗前后疼痛、日常生活活动能力及骨密度改善情况。结果与对照组相比,治疗组视觉模拟评分法(VAS)评分降低,Barthel指数升高,且差异具有统计学意义(P<0.05)。治疗前后骨密度T值比较,两组差异均无统计学意义(P>0.05)。治疗组总有效率(92.5%)高于对照组(80.0%),差异具有统计学意义(P<0.05)。结论补肾强骨方配合健腰操能显著改善SOP患者的腰痛症状,改善患者日常生活活动能力,值得社区推广。

Objective To observe the clinical effect of Bushen Qianggu decoction combined with waist-strengthening exercises on senile osteoporosis （SOP） lumbago. Methods A total of 80 cases of SOP elderly patients were divided into two groups randomly. The treatment group was treated with Bushen Qianggu decoction combined with waist-strengthening exercises, and the control group was treated with Bushen Qianggu decoction only. The course of treatment was 3 months. The VAS score, Barthel index score and bone mineral density T value before and after treatment were observed and recorded. Results The VAS score and Barthel index score after treatment were significant different between two groups （P〈0.05）. However, the bone mineral density T value after treatment was no difference between two groups （P〉0.05）. The clinical effective rate of the treatment group （92.5%） was higher than that of the control group （80.0%）. The difference was statistically significant （P〈0.05）. Conclusion Bushen Qianggu decoction combined with waist-strengthening exercises can improve the symptoms of SOP lumbago and the patient＇s daily viability. It is worth to be promoted in the community.