综合性运动疗法治疗髋部骨折后骨质疏松症

目的探索髋部骨折后骨质疏松症有效的治疗方法。方法选择100例髋部骨折后患有骨质疏松的住院患者,对照组用单纯药物治疗,治疗组用运动疗法、物理治疗与药物相结合的综合治疗。相应检查VAS评分,超声骨密度和ADL评分,并比较两组统计学差异。结果治疗组VAS评分于骨折后6个月和18个月比对照组均有下降;治疗组超声骨密度BQI值于骨折后18个月比对照组均有上升;治疗组ADL评分于骨折后6个月和18个月比对照组均有上升,两组比较有统计学差异。结论康复运动疗法对于髋部骨折后骨质疏松的改善有重要作用,但要注意老年运动疗法的特殊性;以康复运动疗法为主结合理疗,康复宣教和药物等方法的综合治疗是改善髋部骨折后骨质疏松的关键;长期坚持的康复治疗对骨质疏松的最终疗效有重要意义。

Comprehensive Exercise Treatment of Osteoporosis after Hip Fracture

Objective To find the effective treatment of osteoporosis after the hip fracture.Methods One hundred patients with osteoporosis after hip fracture were divided into the control group with drug treatment and the study group with the treatment including the rehabilitation,the physical therapy,and the drug.They were evaluated by the visual analogue scale,the ultrasound bone density examination,and ADL score 6 and 18 months after fracture.The two groups were statistically compared.Results The VAS score in the study group was more visible on the decline than the control group 6 and 18 months after fractures.Ultrasound bone density in the study group increased more significantly than the control group after 18 months,and so was ADL score after 6 and 18 months.Conclusion The rehabilitative exercise is important to improve the osteoporosis after hip fracture with special attention to the characteristics of the old patients.The comprehensive treatment including the rehabilitative exercise,education,physical therapy and drug is the key to cure the osteoporosis.The long-term rehabilitation therapy has the significant value for the treatment of osteoporosis.