长期有氧运动对女性骨质疏松患者雌激素和骨质成分的影响
Long-term effect of aerobic exercise on estrogen and bone composition in female osteoporosis patients.
  
DOI:10.3969/j.issn.1006-7108.2016.02.008
中文关键词:  有氧运动  女性骨质疏松  雌激素  骨质
英文关键词:Aerobic exercise  Female osteoporosis  Estrogen  Bone composition
基金项目:延安大学2015年省级大学生创新创业训练项目(1729)
作者单位
阮彩莲1* 陈富强2 刘志勇3 高凡雅3 高畅3 房甜3 刘娇妤3 1.陕西省延安大学陕西延安716000 2.中国中铁七局西安铁路工程公司医院710600 3.延安大学医学院2014级学生 
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中文摘要:
      目的 通过让女性骨质疏松患者进行有氧运动,比较长期有氧运动对女性骨质疏松患者雌激素和骨质成分的影响;方法 选取2013年3月至2014年3月我院收治的女性骨质疏松症患者60例为研究对象,按照治疗方式的不同分为对照组30例,观察组30例,对照组给予3个月的有氧运动治疗,观察组给予6个月的有氧运动治疗,运动结束后比较两组患者的雌激素水平与骨质成分变化。结果 观察组治疗1月后血清雌二醇水平为(116.3±15.2)pmol/L、治疗6个月后为(163.0±18.1)pmol/L,对照组治疗1月后血清雌二醇水平为(82.7±15.5)pmol/L、治疗3个月后为(107.9±17.1)pmol/L,观察组治疗后明显优于对照组,差异有统计学意义(P<0.05)。观察组治疗6个月后髋部骨密度为(0.70±0.17)g/cm2、腰椎正位骨密度为(0.95±0.28)g/cm2,对照组治疗3个月后髋部骨密度为(0.62±0.12)g/cm2、腰椎正位骨密度为(0.84±0.10)g/cm2,观察组治疗效果明显优于对照组,差异具有统计学意义(P<0.05)。结论 骨质疏松患者每周进行3~5次有氧运动,每次0.5~1h,持续6个月的治疗效果明显优于每周进行3次有氧运动,每次0.5~1h,持续3个月的治疗效果。说明长期保持运动能有效提升女性骨质疏松症患者的雌激素水平,改善患者的骨密度,对预防骨质疏有明显的作用。
英文摘要:
      Objective To study the effect of long-term aerobic exercise on estrogen and the composition of bone in women with osteoporosis. Methods Sixty female patients with osteoporosis from March 2013 to March 2014 in our hospital were enrolled. They were divided into control group (30 cases) and treatment group (30 cases) according to different treatment. Patients in control group conducted aerobic exercise therapy for 3 months, and the patients in treatment group conducted aerobic exercise therapy for 6 months. Changes of the estrogen level and bone composition between the 2 groups were compared. Results The serum estradiol level in the treatment group was 116.3±15.2 pmol/L in 1 month after treatment and 163.0±18.13 pmol/L in 3 months after treatment, respectively. It was 82.7±15.5 pmol/L in 1 month and 107.9±17.1 pmol/L in 6 months, respectively, in the control group. The effect was better in the treatment group than in control group after the treatment, with the statistical significance (P<0.05). Bone mineral density of the hip and the lumbar spine was 0.70±0.17 g/cm2 and 0.95±0.28 g/cm2, respectively, in the treatment group after 6 months, and 0.62±0.12 g/cm2 and 0.84±0.10 g/cm2, respectively, in the control group. The effect was better in the treatment group than in control group after the treatment, with the statistical significance (P<0.05). Conclusion Osteoporosis patients conduct aerobic exercise 3 to 5 times a week, 0.5 1 h each time, and last for 6 months. The effect is significantly better than those conducting aerobic exercise 3 times a week, 0.5 1 h each time, and lasting for 3 months. The long-term exercise can effectively enhance the level of estrogen in women with osteoporosis and improve the patient's bone mineral density. It has obvious preventive effect on osteoporosis.
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