中医传统功法易筋经对老年骨质疏松患者骨密度及骨微结构的变化

Changes of Bone Mineral Density and Bone Microstructure in Elderly Patients with Osteoporosis by Traditional Chinese Medicine Yijinjing

目的探讨中医传统功法易筋经对老年骨质疏松患者骨密度及骨微结构的变化影响。方法选择2018年8月—2021年12月在南阳医学高等专科学校附属中医院诊治的88例老年骨质疏松患者作为研究对象,根据随机数表法1∶1把患者分为易筋经组与对照组,各44例。对照组给予传统有氧运动与负重运动康复,易筋经组在对照组康复的基础上给予中医传统功法易筋经康复,两组均康复锻炼观察6个月,检测与记录骨密度及骨微结构变化情况。结果康复后易筋经组的总有效率略高于对照组,但两组比较差异无统计学意义(P>0.05)。易筋经组与对照组康复后的腰椎L2~L4骨密度都显著高于治疗前(P<0.05),康复后易筋经组腰椎L2~L4骨密度显著高于对照组(P<0.05)。两组康复后的骨小梁距离明显高于康复前(P<0.05),骨小梁厚度明显低于康复前(P<0.05),康复后易筋经组与对照组比较,差异有统计学意义(P<0.05)。易筋经组与对照组康复后的血钙与血磷含量均高于康复前(P<0.05),康复后易筋经组显著高于对照组(P<0.05)。结论中医传统功法易筋经在老年骨质疏松患者的应用能提高骨密度与总体康复效果,改善患者的骨微结构,促进提高患者的血钙与血磷含量。

Objective To investigate the effects of traditional Chinese medicine Yijinjing on the changes of bone mineral density and bone microstructure in elderly patients with osteoporosis.Methods Eighty-eight elderly patients with osteoporosis who were diagnosed and treated in the Affiliated Hospital of Traditional Chinese Medicine of Nanyang Medical College from August 2018 to December 2021 were selected as the research objects.Accorded to the 1:1 allocation principle of the random number table methods,the patients were divided into Yijinjing group and control group with 44 cases in each group.The control group were given traditional aerobic exercise and weight-bearing exercise for rehabilitation,and the Yijinjing group were given traditional Chinese medicine Yijinjing rehabilitation on the basis of the rehabilitation of the control group.The rehabilitation and exercise were observed in both groups for 6 months,and changes in bone mineral density and bone microstructure were detected and recorded.Results After rehabilitation,the total effective rates of Yijinjing group was higher than that in control group,but there was no statistical significance between two groups(P>0.05).The bone mineral density of the lumbar spine L-L in the Yijinjing group and the control group after rehabilitation were significantly higher than that 24 before treatment(P<0.05),and the Yijinjing group were also significantly higher than the control group after rehabilitation(<0.05).The distance of trabecular bone after rehabilitation in the two groups were significantly higher than that before P rehabilitation(P<0.05),and the thickness of trabecular bone were significantly lower than that before rehabilitation(P<0.05).The content of serum calcium and phosphorus in Yijinjing group and control group after rehabilitation were higher than those before rehabilitation(P<0.05),and the Yijinjing group after rehabilitation were also significantly higher than that in control group(<0.05).Conclusion The application of traditional Chinese medicine Yijinjing in elderly patients with osteoporosis P can improve bone mineral density and overall rehabilitation effect,improve the bone microstructure of patients,and promote the increase of blood calcium and blood phosphorus content in patients.