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陈世洲,孙玉明,蒋东明,曹鲁梅,秦龙秀,郑泽鹏,林亚静,毛国庆.中药足浴联合八段锦治疗阳虚质骨质疏松症的临床观察[J].湖南中医药大学学报英文版,2020,40(11):1396-1400.[Click to copy
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| 中药足浴联合八段锦治疗阳虚质骨质疏松症的临床观察 |
| 陈世洲,孙玉明,蒋东明,曹鲁梅,秦龙秀,郑泽鹏,林亚静,毛国庆 |
| (江苏省中医院, 江苏 南京 210029) |
| 摘要: |
| 目的 观察中药足浴联合八段锦功法治疗阳虚质骨质疏松症（osteoporosis，OP）患者的临床疗效。方法 将80例阳虚质OP患者按随机数字表法分为治疗组及对照组各40例。两组患者均予钙尔奇加骨化三醇基础抗骨质疏松治疗，对照组加用中药足浴治疗，治疗组在对照组基础上增加八段锦功法锻炼，疗程6个月。检测两组患者治疗前后腰椎1-4（lumbar spine 1-4，L1-4）、股骨颈骨密度（bone mineral density，BMD）、血清钙（calcium，Ca）、血磷（phosphorus，P）、1型前胶原氨基端肽水平（type 1 procollagen amino terminal peptide，P1NP）及β-1型胶原羧基末端肽交联（β-cross-linked C-terminal telopeptide of type 1 collagen，β-CTX）的变化情况；观察比较两组患者治疗前后视觉模拟疼痛（visual analoge scale，VAS）评分、阳虚症状积分及肢体功能活动状况（short physical performance battery，SPPB）评分。结果 治疗6个月后，治疗组L1-4及股骨颈BMD、血Ca、P水平、SPPB评分显著高于治疗前及对照组（P<0.05），P1NP及β-CTX水平、VAS评分、阳虚症状积分显著低于治疗前及对照组（P<0.05）。结论 中药足浴联合八段锦功法可以显著减轻阳虚质OP患者疼痛、增强肢体功能活动能力、改善患者体质状态、提高BMD，对阳虚质OP有较好的临床疗效。 |
| 关键词: 骨质疏松症 阳虚质 中药足浴 八段锦 骨密度 骨代谢 |
| DOI：10.3969/j.issn.1674-070X.2020.11.019 |
| Received:September 17, 2019 |
| 基金项目:江苏省研究生培养创新工程项目（SJCX19_0405）；第四批全国中医优秀人才研修项目（J20184832009）；江苏省中医传统运动康复技术项目（K2017ykf08）。 |
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| Clinical Observation on Chinese Materia Medica Foot Bath Combined with Baduanjin in the Treatment of Yang Deficiency Osteoporosis |
| CHEN Shizhou,SUN Yuming,JIANG Dongming,CAO Lumei,QIN Longxiu,ZHENG Zepeng,LIN Yajing,MAO Guoqing |
| (Jiangsu Hospital of Traditional Chinese Medicine, Nanjing, Jiangsu 210029, China) |
| Abstract: |
| Objective To observe the clinical effects of Chinese materia medica foot bath combined with Baduanjin exercise in the treatment of osteoporosis with Yang deficiency. Methods A total of 80 patients with osteoporosis of Yang deficiency were divided into a treatment group and a control group according to random number table, with 40 cases in each group. Both groups of patients were given calci plus calcitriol basic anti-osteoporosis treatment. The control group was added Chinese materia medica foot bath, while the treatment group was treated with Baduanjin exercise on the basis of the control group. The study lasted for 6 months. The changes of the levels of lumbar spine 1-4 (L1-4), bone mineral density (BMD), serum calcium (Ca), phosphorus (P), type 1 procollagen amino terminal peptide (P1NP) and β-cross-linked C-terminal telopeptide of type 1 collagen (β-CTX) were measured before and after treatment in both groups. The Visual Analoge Scale (VAS) scores, Yang deficiency symptom scores, and short physical performance battery (SPPB) scores of the 2 groups were observed and compared before and after treatment. Results After 6 months of treatment, L1-4 and femoral neck BMD, blood Ca, P levels, SPPB scores in the treatment group were significantly higher than those before treatment and the control group (P<0.05). P1NP and β-CTX levels, VAS scores, Yang deficiency symptom score were significantly lower than before treatment and the control group (P<0.05). Conclusion Chinese materia medica foot bath combined with Baduanjin can significantly relieve pain, enhance limb function, improve physical condition, increase bone mineral density in patients with osteoporosis of Yang deficiency. It has a better clinical effects on osteoporosis with Yang deficiency. |
| Key words: osteoporosis Yang deficiency Chinese materia medica foot bath Baduanjin bone mineral density bone metabolism |
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