坐式八段锦功法锻炼治疗老年男性骨质疏松症所致下腰痛临床研究

Clinical Study on Baduanjin Exercise in Sitting for Low Back Pain Induced byOsteoporosis in Senile Male Patients

目的:观察坐式八段锦功法锻炼治疗老年男性骨质疏松症(OP)所致下腰痛的临床疗效。方法:将70例OP所致下腰痛老年男性患者按随机数字表法分为治疗组和对照组各35例。经过为期6个月的治疗及随访,部分患者因失访、治疗依从性较差、八段锦功法练习欠规律等原因剔除,最终纳入研究43例。对照组25例,给予优化生活方式、补充钙剂、维生素D及抗骨质疏松药物综合治疗。治疗组18例,在对照组基础上加用坐式八段锦功法锻炼治疗。比较2组治疗前后各时段下腰痛视觉模拟评分法(VAS)评分、改良Oswestry腰椎功能障碍指数(ODI)评分及L1~4、股骨颈骨密度(BMD)水平。结果:治疗1、2、3、4个月后,2组下腰痛VAS评分比较,差异均无统计学意义(P>0.05)。治疗5、6个月后,治疗组下腰痛VAS评分均低于对照组,差异有统计学意义(P<0.05)。治疗后,2组改良ODI评分均较治疗前降低(P<0.05),治疗组改良ODI评分较对照组降低更明显(P<0.05);2组L1~4及股骨颈BMD均较治疗前增大(P<0.05);治疗组L1~4及股骨颈BMD与对照组比较,差异均无统计学意义(P>0.05)。结论:长期规律性地练习坐式八段锦可以有效缓解老年男性OP所致下腰痛患者的腰背部疼痛症状。

Objective:To observe the clinical effect of functional exercise of Baduanjin in sitting for low back pain induced by osteoporosis(OP)in senile male patients.Methods:A total of 70 cases of senile male patients with low back pain induced by OP were divided into the treatment group and the control group according to the random number table method,35 cases in each group.After six-month treatment and follow-up,some patients were excluded because of loss to follow-up,bad compliance,and irregular practice of Baduanjin exercise.Finally,there were 43 cases enrolled in the study.The control group(25 cases)was given comprehensive treatments including optimization of lifestyle,as well as supplement of calcium,vitamin D,and anti-osteoporosis medicine;the treatment group(18 cases)was additionally given Baduanjin exercise in sitting based on the treatment of the control group.Before and after treatment,the scores of Visual Analogue Scale(VAS)for evaluating low back pain in each period were compared between the two groups.Before and after treatment,the score of modified Oswestry Dysfunction Index(ODI)for evaluating lumbar vertebral function and the level of bone mineral density(BMD)of L1~4 and femoral neck were compared between the two groups.Results:After one-month,two-month,three-month,and four-month treatment,there were no significant differences being found in the comparison of scores of VAS for evaluating low back pain between the two groups(P>0.05).After five-month and six-month treatment,the scores of VAS in the treatment group were lower than those in the control group,the difference being significant(P<0.05).After treatment,scores of modified ODI in the two groups were decreased when compared with those before treatment(P<0.05),and the decrease of the score in the treatment group was more significant than that in the control group(P<0.05). Aftertreatment,BMD of L1~4 and femoral neck in the two groups were increased when compared with those before treatment(P<0.05);there were no significant differences being found in the comparison of BMD of L1~4 and femoral neck between the twogroups(P>0.05). Conclusion:For senile male patients with low back pain induced by OP,regular Baduanjin exercise in sittingin a long run can effectively relieve symptoms of the lower back pain.