脉冲电磁场辅助治疗原发性骨质疏松症疗效分析
Analysis of the efficacy of adjuvant pulsed electromagnetic field in the treatment of primary osteoporosis
  
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中文关键词:  骨质疏松  脉冲电磁场  相关性分析
英文关键词:Osteoporosis  Pulsed electromagnetic fields  Correlation analysis
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刘勇华 涂萍 吴和平 南昌市第三医院(南方医科大学附属南昌医院)内分泌科南昌330009 
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中文摘要:
      目的观察脉冲电磁场对原发性骨质疏松症患者骨痛,日常生活活动及骨密度的影响。方法收集原发性骨质疏松症 患者120例,其中男性50例,女性70例。年龄50 ~ 88岁,平均68 ± 15岁。随机分为2组,治疗组60例,对照组60例,治疗组 采用HX2010型脉冲电磁场骨质疏松治疗系统联合钙剂,维生素D及双膦酸盐治疗,对照组采用钙剂,维生素D及双膦酸盐 治疗,连续治疗24周。治疗前后分别测定患者VAS疼痛评分,ADL日常生活活动评分及骨密度,并进行统计学分析。结果 治疗前两组VAS疼痛评分无统计学差异,治疗后4周治疗组VAS评分下降,与对照组相比有显著性差异;治疗前两组ADL评 分无差异,治疗后4周ADL评分升高,与对照组相比有显著性差异;治疗前两组骨密度无差异,治疗后24周骨密度明显升高, 与对照组相比有显著性差异。结论脉冲电磁场可缓解原发性骨质疏松症的骨痛,效果较为显著,能够明显改善患者的日常 生活活动能力,可提高骨密度。
英文摘要:
      Objective To observe the effect of pulsed electromagnetic fields on the bone pain,activity of daily living,and bone mineral density in patients with primary osteoporosis. Methods One hundred and twenty patients with primary osteoporosis were selected,including 50 males and 70 female,aging from 50 to 88 years old,with an average age of 68 士 15 years old. All the patients were randomly divided into 2 groups (n =60) : treatment group and control group. Patients in treatment group were treated using the HX2010-type pulsed electromagnetic fields osteoporosis treatment system combined with calcium, vitamin D,and bisphosphonate,while patients in control group were treated with calcium,vitamin D,and bisphosphonate. The whole treatment lasted for 24 weeks. VAS pain score,the ADL activitys of daily living score,and bone mineral density in patients before and after the treatment were measured and analyzed statistically. Results Before the treatment,the VAS pain score in both groups showed no statistical difference. After 4-week treatment, VAS score in treatment group decreased significantly compared with that in control group. No difference of ADL score in both groups was observed before the treatment. But after 4-week treatment, the ADL score increased significantly compared with that in control group. Before the treatment,bone mineral density in both groups showed no difference. After 24-week treatment,bone mineral density increased significantly compared with that in control group. Conclusion The pulsed electromagnetic fields can alleviate the pain of primary osteoporosis, and the effect is significant. It can significantly improve the patient ’ s activity of daily living and improve bone mineral density.
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