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| 综合治疗老年骨质疏松症的临床研究 |
| The clinical study of comprehensive treatment for senile osteoporosis |
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| DOI：10.3969/j.issn.1006.7108.2015.04.015 |
| 中文关键词: 老年骨质疏松；自然疗法；日光浴 低频脉冲 运动疗法 阿伦磷酸钠 |
| 英文关键词:Senile osteoporosis Natural therapy Sunbath Low frequency pulsed current therapy Exercise therapy Alendronate Sodium |
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| 中文摘要: |
| 目的 通过对阿伦磷酸钠+自然疗法（日光浴+低频脉冲+运动疗法)综合治疗老年骨质疏松症患者疗效的观察及分析，探索老年骨质疏松症综合治疗的疗效及安全性。方法 选择97例病例，随机分为3组:A组(对照组1)32例、B组（对照组2)32例、C组(试验组)33例;每组同时每日给予一定剂量的钙剂及维生素D；A、C组予口服阿仑膦酸钠片70 mg，1次1片，每周1次;B、C组均采用自然三联疗法:低频电磁场治疗、日光浴及运动疗法;治疗前及治疗后第3个月、6个月分别测定患者视觉模拟痛疼评分(VAS)，并对3组患者进行治疗前及治疗后6、12个月腰椎及股骨颈BMD的测量。结果试验组比两组对照组疼痛缓解明显，骨密度显著提高，试验组与对照组对比，P<0. 05。结论 药物加自然三联疗法综合治疗老年性骨质疏松症更安全、疗效更好。 |
| 英文摘要: |
| Objective To investigate the efficacy and safety of comprehensive therapy on senile osteoporosis by observation and analysis of alendronate combined with the three natural therapy methods. Methods Ninety-seven cases were selected and divided into three groups，group A (control group 1，n = 32)，group B (control group 2，n = 32)，and group C (experiment group，n = 33). A daily dose of calcium and vitamin D was given to all groups. Group A and C received alendronate sodium 70mg once a week. Group B and C received the natural therapy，including pulsed electromagnetic fields，heliotherapy，and kinetotherapy. VAS was measured before the treatment and 3 and 6 months after the treatment. BMD of the lumbar vertebrae and the femoral neck was measured before the treatment and 6 and 12 months after the treatment. Results Compared with the two control groups，the pain relieved obviously and BMD increased significantly in experiment group (P < 0. 05). Conclusion Combined therapy of medicine and the three natural methods on senile osteoporosis is much safer and effective. |
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