联合性运动治疗在老年骨质疏松症女性患者中的应用评估

Application of combined exercise therapy in elderly female patients with osteoporosis

目的探讨联合性运动治疗在老年骨质疏松症(Osteoporosis,OP)女性患者中的临床疗效及应用价值.方法选取我院2018年9月~2019年9月骨科收治的150例老年OP女性患者,根据随机数字表法分为实验组(n=75)与对照组(n=75),对照组给予常规药物治疗,即补充钙剂及维生素D,实验组在对照组基础上给予联合性运动治疗,治疗周期为4周,评估两组患者临床疗效,记录骨密度、疼痛视觉模拟评分(VAS)变化以及不良反应发生情况.结果①治疗后,实验组总有效率(90.67%)显著高于对照组(78.67%),差异具有统计学意义(P<0.05);②治疗前比较两组骨密度、VAS评分无差异(P>0.05),治疗后均改善(P<0.05),且实验组优于对照组(P<0.05);③治疗后两组均有发生恶心呕吐、面红手麻、皮疹病例,但实验组发生率(9.33%)与对照组发生率(13.33%)比较无统计学意义(P>0.05).结论联合性运动治疗在老年OP女性患者中效果显著,不仅能改善骨密度,有效缓解疼痛,安全可靠.

Objective To explore the clinical efficacy and application value of combined exercise therapy in elderly female patients with osteoporosis(OP).Methods 150 elderly female patients with OP who were admitted to the hospital between September 2018 and September 2019 were selected and divided into experimental group(n=75)and control group(n=75)by the random number table method.The control group were treated with routine drugs(calcium and vitamin D supplementation),and the experimental group were given combined exercise therapy on the basis of the control group.Both groups were treated for 4 weeks,and the clinical efficacy was evaluated.Changes in bone mineral density and visual analogue scores(VAS)and the occurrence of adverse reactions were recorded.Resu Its DAfter treatment,the total effective rate in the experimental group(90.67%)was significantly higher than that in the control group(78.67%)(P<0.05).②There was no difference in bone mineral density or VAS score between the two groups before treatment(P>0.05).After treatment,the bone mineral density and VAS scores of both groups were improved(^<0.05),and the two indexes in experimental group were better than the control group(P<0.05).③After treatment,there were cases with nausea and vomiting,flushed face and hand numbness and rashes in both groups.There was no significant difference in the incidence rate between the experimental group and the control group(9.33%vs 13.33%)(P>0.05).Conclusion Combined exercise therapy is effective in the treatment of elderly female patients with OP.It can not only improve bone mineral density but also effectively relieve pain.Besides,it is safe and reliable.