殷丹

【摘要】 目的：研究导引功法操结合中药熏洗对老年骨质疏松症的防治作用。方法：选取笔者所在医院2017年5月-2018年3月诊治的116例老年骨质疏松症患者，按照随机数字表法分为观察组和对照组，每组58例。对照组给予中药熏洗治疗，观察组给予导引功法操结合中药熏洗治疗。两组均在治疗前后测定骨密度和碱性磷酸酶水平，并使用视觉模拟评分法（VAS）对治疗前后的骨痛进行评分，治疗结束后综合评价疗效。结果：观察组总有效率为89.66%，高于对照组的74.14%（P<0.05）;两组治疗后骨密度和碱性磷酸酶水平均较治疗前增加，观察组均高于对照组（P<0.05）;两组治疗后VAS评分均较治疗前下降，观察组低于对照组（P<0.05）。结论：导引功法操结合中药熏洗能有效增加老年骨质疏松症患者骨密度，疗效较好。

【关键词】 导引功法操 中药熏洗 老年骨质疏松症 防治作用

doi：10.14033/j.cnki.cfmr.2019.30.059 文献标识码 B 文章编号 1674-6805（2019）30-0-02

[Abstract] Objective： To study the preventive and therapeutic effects of guided gymnastics combined with traditional Chinese medicine fumigation on elderly osteoporosis. Method： A total of 116 elderly patients with osteoporosis who were treated in the hospital from May 2017 to March 2018 were selected and divided into the observation group and the control group according to the random table method， with 58 cases in each group. The control group was given traditional Chinese medicine fumigation， and the observation group was given guided gymnastics combined with traditional Chinese medicine fumigation. Bone mineral density and alkaline phosphatase level were measured in the two groups before and after treatment. Visual analogue scale （VAS） was used to score the bone pain before and after treatment， and the efficacy was evaluated after the end of treatment. Result： The total effective rate of the observation group was 89.66%， which was higher than 74.14% of the control group （P<0.05）. The bone mineral density and alkaline phosphatase level in the two groups were increased after treatment compared with those before treatment， and the indexes of the observation group were higher than those of the control group （P<0.05）. The VAS scores in the two groups were decreased after treatment compared with those before treatment， and the score of the observation group was lower than that of the control group （P<0.05）. Conclusion： Guided gymnastics combined with traditional Chinese medicine fumigation can effectively increase bone mineral density in elderly patients with osteoporosis， and it has good efficacy.

[Key words] Guided gymnastics Traditional Chinese medicine fumigation Elderly osteoporosis Preventive and therapeutic effects

First-authors address： Hubei Provincial Hospital of TCM， Wuhan 430070， China

骨質疏松症是一类常见的全身性骨骼疾病，检查时多表现为骨量减少和骨密度降低。绝经后妇女和老年群体是骨质疏松的高发人群[1]。沈新升等[2]指出，骨质疏松症会给患者健康带来巨大影响，也会加重家庭经济负担，已经成为影响老年群体生活质量的一个重要因素。骨质疏松症属于代谢性疾病，通常采用药物治疗效果不佳。因此，本研究采用导引功法操结合中药熏洗对老年骨质疏松症患者进行治疗，探讨应用价值，结果如下。

1 资料与方法

1.1 一般资料

选取笔者所在医院2017年5月-2018年3月诊治的116例老年骨质疏松症患者。纳入标准：（1）所有对象均符合骨质疏松症诊断标准[3];（2）年龄≥60岁。使用随机数字表法将患者分为观察组58例与对照组58例。观察组男24例，女34例;年龄60～75岁，平均（69.22±4.14）岁;文化程度：小学及以下26例，初中19例，高中及以上13例。对照组男25例，女33例;年龄60～75岁，平均（69.90±4.07）岁;文化程度：小学及以下28例，初中18例，高中及以上12例。……