中医传统运动与骨质疏松症相关性研究现状
The research status of traditional Chinese medicine exercise and osteoporosis
  
DOI:10.3969/j.issn.1006-7108.2019.08.007
中文关键词:  骨质疏松症  中医传统运动  研究现状
英文关键词:osteoporosis  traditional Chinese medicine  research status
基金项目:国家中医药管理局国家中医临床研究基地业务建设科研专项课题(JDZX2015080)
作者单位
王立红1 张跃1* 白璧辉2,3 李鼎鹏2,3 1.中国中医科学院广安门医院北京 100053 2.甘肃省中医药研究院甘肃 兰州 730050 3.甘肃省中医院甘肃 兰州 730050 
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中文摘要:
      目的 探析近五年来中医传统运动与骨质疏松症(osteoporosis,OP)相关性研究的现状,探讨OP患者的中医传统运动状况,更好地为运用中医传统运动防治OP提供一定的基础数据。方法 对2013年1月至2018年5月在国内外期刊发表的有关OP与中医传统运动相关性的调查文献,以“骨质疏松、太极拳、五禽戏、八段锦、易筋经、运动”为检索词进行检索,并进行综合分析。结果 共检索129篇全文文献,其中17篇文献符合要求,调查范围涉及全国12个省、市、自治区,单个调查样本量为46~188例,研究类型中横断面研究为5篇(29.41 %),病例对照研究为12篇(70.59 %)。运用太极拳改善OP的人数达43.46 %,其余分别是八段锦(23.23 %)、五禽戏(21.90 %)、易筋经(11.42 %)。同时将12项病例对照研究中的OP患者与对照组进行对比,并从骨密度、OP患者腰背疼痛及血清骨钙素(BGP)三个方面评价中医传统运动对OP患者的改善情况,MD值分别为0.11(95% CI: 0.09~0.13),-1.22(95% CI:-1.35~ -1.09),0.21(95% CI: 0.16~0.27), P<0.00001。结论 中医传统运动可明显改善OP患者的临床表现,并有效延缓OP的发生。
英文摘要:
      Objective This paper analyzes the current situation of the research on the relationship between traditional Chinese medicine exercise and osteoporosis (OP) in the past five years, discusses the status of traditional Chinese medicine exercise in OP patients, and provides some basic data for the prevention and treatment of OP using traditional Chinese medicine exercise. Methods Literature on the correlation between OP and traditional Chinese medicine exercise published in Chinese and international journals from January 2013 to May 2018 with key words of “Osteoporosis, Tai Chi, Wu Qin Xi, Ba Duan Jin, Yi Jin Jing, and Sports” were searched and we conducted a comprehensive analysis. Results A total of 129 full-text articles were searched, and 17 of which met the requirements. The survey covered 12 provinces, municipalities and autonomous regions. The sample size was 46-188 for a single survey. There were 5 (29.41%) cross-sectional studies and 12 (70.59%) case-control studies. The number of people using Taijiquan to improve OP reached 43.46%, and the rest were 28.23% for Ba Duanjin, 21.90% for Wuhuo, and 11.42% for Yijin. Secondly, the OP patients in the 12 case-control studies were compared with the control group, and the improvement of OP patients was evaluated from three aspects: bone mineral density, low back pain in OP patients and serum osteocalcin (BGP). The MD values were 0.11 (95% CI: 0.09 to 0.13), -1.22 (95% CI: -1.35 to -1.99), and 0.21 (95% CI: 0.16 to 0.27) respectively, P<0.00001. Conclusion Traditional Chinese medicine exercise can significantly improve the clinical manifestations of OP patients and effectively delay the occurrence of OP.
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