八段锦改善老年骨质疏松患者平衡能力及跌倒风险的疗效观察

Clinical Observation on Eight-section Brocade in Improving Balance Ability and Fall Risk of Senile Osteoporosis

目的:探讨八段锦对老年性骨质疏松症(senile osteoporosis,SOP)患者平衡能力及跌倒风险的影响。方法:采用随机对照盲法设计,在医院门诊及住院部通过便利抽样选取SOP患者88例,按随机数字表分为对照组和治疗组各44例,2组患者均口服钙尔奇D及依降钙素基础治疗,治疗组实施八段锦功能锻炼,对照组不进行特殊功能锻炼,依原常规生活。2组患者均于干预前及干预后6月采用闭目单足站立测试(ECLSB)、计时起立-步行测试(TUGT)、Berg平衡量表(BBS)评价平衡能力;采用Morse跌倒评估量表(MFS)、焦虑自评量表(SAS)评估跌倒风险。结果:治疗组治疗后ECLSB测试时间长于治疗前和对照组,差异有统计学意义(P<0.01);治疗组治疗后BBS得分高于治疗前及对照组,差异有统计学意义(P<0.01);治疗组治疗后TUGT得分低于治疗前和对照组,差异有统计学意义(P<0.01);治疗组治疗后Morse跌倒评估量表、焦虑自评量表SAS结果优于治疗前和对照组,差异有统计学意义(P<0.01)。结论:八段锦可提高SOP患者的平衡功能,能有效降低跌倒风险。

Objective: To explore the influence of eight-section brocade on balance ability and tumbling risk of senile osteoporosis(SOP). Methods: Using random control blind method, 88 SOP patients were chosen from the outpatients and inpatient via convenient sampling, and they were randomized into the control group and the treatment group according to random number table, 44 cases each group, both groups accepted oral administration of Caltrate D and elcatonin, the treatment group performed functional exercise of eight-section brocade, while the control group didn’t perform special functional exercise and live as usual. Eyes dosed and single legged standing balance capacity(ECLSB), times up and go test(TUGT) and Berg balance scale(BBS) were used to assess balance ability before intervention and in six months after the intervention in both groups;Morse fall scale(MFS) and self-rating anxiety scale(SAS) were adopted to assess fall risk. Results: ECLSB testing time of the treatment group after treating was longer than that before treating and that of the control group, and the difference could be found(P<0.01);BBS scores of the treatment group after treating were higher than these before treating and of the control group, and the difference showed stastistical meaning(P<0.01);TUGT scores of the treatment group after treating were lower than these before treating and of the control group, and the difference was statistically significant(P<0.01);MFS and SAS of the treatment group after treating were superior to these before treating and of the control group,and the difference could be found(P<0.01). Conclusion: Eight-section brocade could improve balance ability of SOP patients and effectively reduce fall risk.