广场舞对绝经期后骨质疏松患者的骨密度和骨转换指标影响的研究
The effects of square dancing on bone mineral density and bone turnover markers in patients with postmenopausal osteoporosis
  
DOI:10.3969/j.issn.1006-7108.2017.01.009
中文关键词:  广场舞  绝经后骨质疏松症  骨密度;骨转换指标
英文关键词:Square dance  Postmenopausal osteoporosis  Bone mineral density  Bone turnover markers
基金项目:国家自然科学基金资助项目(8160120405);无锡市科技局项目(CSE31W1506)
作者单位
秦晋泽 荣晓旭 朱国兴 姜宇 南京医科大学附属无锡市第二人民医院骨科江苏 无锡214000 
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中文摘要:
      目的 观察广场舞对绝经后骨质疏松患者的骨密度、骨转换指标的影响。方法 研究组:口服钙尔奇D600 mg每日1 次的同时,联合广场舞运动方法干预,每周5次,每次平均0. 5 ~1. 0小时;对照组:单纯采用口服钙尔奇D600 mg每日1次,观 察两组实验前及实验干预6个月后受试者骨密度、骨转换指标变化、骨痛。结果(1)骨密度变化:研究组治疗6个月后,腰 椎L2-4、股骨颈部的骨密度较治疗前明显升髙(P <0.05),Ward's区骨密度无显著性改变。而对照组各部位骨密度较前无明显改变(P >0. 05)。(2)血生化中血钙、血磷及碱性磷酸酶指标值:两组生化指标在治疗前后无统计学差异(P >0. 05);治疗6 个月后P1NP的水平明显升髙(P <0.05),β-CTX水平未有明显改变(P >0.05)。(3)疼痛程度改善情况:两组治疗前后疼痛 分级比较,研究组疼痛明显改善。结论 广场舞运动能部分改善绝经后妇女骨密度,并且可以缓解骨质疏松引起的疼痛,是 一种切实可行的预防和治疗骨质疏松症的临床方案。
英文摘要:
      Objective To study the effects of square dance on bone mineral density and bone turnover markers in patients with postmenopausal osteoporosis. Methods The patients in research group received 600mg of calcium for 6 months combined with square dance 5 times a week (0.5 -1.0 hour each time). The patients in the control group received 600mg of calcium per day for 6 months. Bone mineral density (BMD),changes in bone turnover markers and bone pain were assessed before and after the treatment. Results (1) After 6 months,BMD of L2-4 and the femoral neck significantly increased in the research group (P < 0.05). No significant change in BMD of the Ward ’ s region was observed. BMD in the control group did not change significantly after the treatment (P >0. 05). (2) Serum levels of calcium,phosphorus,and alkaline phosphatase were not significantly different between the two groups before and after the treatment (P > 0. 05). Serum levels of Pi NP significantly increased,but β-CTX’s level did not change significantly after 6 months. (3) The degree of pain in the research group relieved significantly comparing to that in control group after the treatment. Conclusion The square dance could improve the bone mineral density and relieve the pain caused by osteoporosis in postmenopausal osteoporosis patients. It is a practical and feasible clinical program for the prevention and treatment of osteoporosis.
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