摘要
目的评估社区运动干预对老年骨质疏松性骨折的影响。方法 2013年6月至2014年6月,从广州医科大学附属第三医院荔湾医院骨科就诊的老年骨质疏松患者中按照标准选取100例纳入研究,采用随机表法,分为运动干预组和对照组,每组50例。运动干预组对患者制定个体化运动方案,同时给予定期健康宣教和口服补钙(碳酸钙D3片,每片含碳酸钙600 mg和维生素D3125 IU);对照组则仅进行健康宣教和口服补钙。统计分析两组患者的临床资料,其中年龄、骨密度、VAS评分等计量资料比较采用t检验,性别、骨质疏松性骨折发生率等计数资料采用x2检验。结果两组患者随访12个月,运动干预组的腰椎和股骨近端的骨密度较治疗前明显升高,差异有统计学意义(t=2.43,2.20;P<0.05);对照组腰椎骨密度和股骨近端的骨密度治疗前后比较差异无统计学意义(t=1.49,0.88;P>0.05)。运动干预组的骨质疏松性骨折的发生率低于对照组,但差异无统计学意义(x2=1.60,P>0.05)。运动干预组和对照组患者治疗后VAS评分均较治疗前明显降低,差异均有统计学意义(t=5.23,3.00;P<0.05),但运动干预组的改善效果更佳,差异有统计学意义(t=4.61,P<0.05)。结论在社区进行运动干预,可以有效缓解疼痛、提高骨密度和降低老年骨质疏松性骨折的发生率。
Objective To evaluate the clinical effects of exercise intervention on senile osteoporotic fracture in community. Methods According to the inclusion criteria, 100 senile patients who were treated with osteoporosis from June 2013 to June 2014 in the orthopedic department of the third Affiliated Hospital of Guangzhou Medical University Liwan Branch were selected, and randomly divided into the exercise intervention group and the control group （50 patients in each group）. All the patients were given health education and oral calcium intake （ Caltrate-600D, each tablet contains calcium carbonate 600 mg and vitamin D3 125 IU）, and the patients in the exercise intervention group were given individualized exercise program. The measurement data such as age, bone mineral density （BMD） and visual analogue scale （VAS） were analyzed by t-test, while Chi-square test wasused to analyze the enumeration data, such as the number of people and the incidence of osteoporotic fracture. Results All the patients were followed- up for 12 months. In the exercise intervention group, the BMD of the lumbar vertebra and proximal femur was significantly better than before （ t = 2.43, 2.20 ; P 〈 0.05 ） , and no significant improvement was observed in the control group （t = 1.49, 0.88 ; P 〉 0.05）. The incidence of osteoporotic fractures in the exercise intervention group was lower than the control group, but the difference was not statisticallysignificant （x2 = 1.60, P 〉 0.05）. The VAS scores of both the groups were improved significantly （ t = 5. 23, 3.00; P 〈 0.05 ） ; the effect of the exercise intervention group was much better, and the difference was statistically significant （ t = 4. 61, P 〈 0. 05 ）. Conclusion Exercise intervention in community can effectively relieve the pain, increase the BMD and reduce the incidence of senile osteoporotic fractures.
出处
《中华关节外科杂志（电子版）》
CAS
2017年第2期94-97,共4页
Chinese Journal of Joint Surgery(Electronic Edition)
基金
广州市医药卫生科技项目(20151A010112)
关键词
骨质疏松
骨折
运动
老年人
Osteoporosis
Fractures, bone
Exercise
Aged
