世界中医药2018，Vol.13Issue(2)：378-381,385,5.DOI:10.3969/j.issn.1673-7202.2018.02.032
独活寄生汤联合摩擦步训练对老年骨质疏松症患者骨密度及下肢肌力的影响
Study on the Effects of Duhuo Jisheng Decoction Combined with Friction Step Training on Bone Density and Muscle Strength of Lower Limbs of the Elderly Patients with Osteoporosis
摘要
Abstract
Objective:To investigate the effects of Duhuo Jisheng Decoction combined with friction step training on bone density and muscle strength of lower limbs of the elderly patients with osteoporosis.Methods:Ninety-six elderly patients with osteoporosis who were admitted and treated in the First Hospital of Shijiazhuang from April 2013 to December 2015 were selected and randomly divided into control group(n=48)and study group(n=48).The patients of control group were treated with Caltrate with ossifi-cation calcitriol treatment,and patients of study group were treated with Duhuo Jisheng Decoction combined with friction step train -ing for 8 weeks.The clinical pain relief and bone mineral density were measured, and the lower limb muscle strength was as-sessed.The serum bone metabolic markers,clinical efficacy and safety were compared after the treatment.Results:Compared with the state before treatment,scores of resting pain,back pain,over flexion and extension pain decreased,and scores of bone mineral density of lumbar spine L2-4and right femoral neck increased.Slow extensor muscle strength increased,and flexor muscle flexor muscle,extensor muscle strength and speed increased.Contents of Ca and P increased,and AKP decreased(P<0.05); Com-pared with the control group,scores of resting pain, back pain, over flexion and extension pain were lower, and scores of bone mineral density of lumbar spine L 2-4and right femoral neck were higher.And slow extensor muscle strength were higher,and flex-or muscle flexor muscle,extensor muscle strength and speed were higher.and content of Ca and P were higher, and AKP were lower(P<0.05);The effective rate of the patients in the control group was 75.00%, which was lower than that of study group 91.76%(P<0.05).Conclusion:Duhuo Jisheng Decoction combined with friction step training has significant therapeutic effect on senile osteoporosis,and significantly improve bone density and muscle strength of lower limbs, and improve bone metabolism and clinical symptoms,which was worthy of wide promotion.关键词
独活寄生汤/摩擦步训练/老年/骨质疏松症/骨密度/下肢肌力Key words
Duhuo Jisheng Decoction/Friction step training/Senile/Osteoporosis/Bone density/Muscle strength of lower limbs分类
医药卫生引用本文复制引用
庞江娜,武永富,梁芳,王江泳,赵旭兰,范亚坤,周艳艳,张灿..独活寄生汤联合摩擦步训练对老年骨质疏松症患者骨密度及下肢肌力的影响[J].世界中医药,2018,13(2):378-381,385,5.基金项目
河北省医学研究重点课题(20150913) （20150913）
