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运动疗法对防治绝经后妇女骨质疏松症的疗效分析及对骨密度的影响
引用本文:周隆,任兆舟,张展,田野.运动疗法对防治绝经后妇女骨质疏松症的疗效分析及对骨密度的影响[J].中国妇幼保健,2020(7):1270-1273.
作者姓名:周隆  任兆舟  张展  田野
作者单位:中国医科大学附属盛京医院骨外科
基金项目:国家自然科学基金(81970760)。
摘    要:目的探究运动疗法对防治绝经后妇女骨质疏松症的疗效分析及对骨密度的影响。方法选取2016年9月-2019年1月内该院收治的164例绝经后骨质疏松症患者为研究对象,根据随机数字表法分为观察组和对照组,每组82例。两组患者均进行常规治疗,其中观察组进行为期1年的运动锻炼作为辅助治疗,1年后比较两组患者的骨质疏松情况以及骨密度情况。结果经过为期1年的治疗后,两组患者的骨质疏松症有所改善,骨密度有所提高,其中观察组血钙(Ca)明显高于对照组(P<0.05),而观察组血磷(P)、尿Ca与肌酐比值(Cr)、血碱性磷酸酶(ALP)明显低于对照组(P<0.05)。性激素水平比较上,观察组的雌二醇(E2)、睾酮(T)高于对照组(P<0.05),而卵泡刺激素(FSH)则低于对照组(P<0.05)。观察组的BMD也高于对照组(P<0.05)。结论运动疗法可以提高患者骨密度情况,改善妇女雌激素分泌,对于防治骨质疏松有很好的疗效。

关 键 词:运动疗法  绝经后  骨质疏松  雌激素

Analysis of exercise therapy on prevention and treatment of osteoporosis in postmenopausal women and its effect on bone density
Institution:(Department of Orthopedics,Shengjing Hospital of China Medical University,Shenyang,Liaoning 110004,China)
Abstract:Objective To explore the analysis of exercise therapy on the prevention and treatment of osteoporosis in postmenopausal women and its effect on bone mineral density.Methods A total of 164 women with postmenopausal osteoporosis who were admitted to our hospital from September 2016 to January 2019 were selected and divided into observation group and control group according to the random number table method.Each group consisted of 82 patients.All the patients in the two groups received routine treatment,and the patients in the observation group performed 1-year exercise as an adjuvant treatment.The osteoporosis and bone mineral density of the two groups were compared after 1 year.Results After one year of treatment,the osteoporosis and bone mineral density of the patients of the two groups had improvement.The blood calcium(Ca)of patients in observation group was higer than that in the control group(P<0.05)and the blood phosphorus(P),urine Ca to creatinine ratio(Cr),blood alkaline phosphatase(ALP)of observation group were significantly lower than those in the control group(P<0.05).Comparing with sex hormone,the estradiol(E2),testosterone(T)in the observation group were higer than those in the control group(P<0.05)and follicle stimulating hormone(FSH)in the observation group were lower than that in the control group(P<0.05).The BMD of the observation group was also better than that of the control group(P<0.05).Conclusion Exercise therapy can improve the bone mineral density of patients,improve women's estrogen secretion,and play a very good effect in prevent and treatment of osteoporosis.
Keywords:Exercise therapy  Postmenopause  Osteoporosis  Estrogen
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