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[1]楊慶賢,曹翠萍,曹哲.常規(guī)抗骨質(zhì)疏松療法聯(lián)合腰腹肌訓(xùn)練治療原發(fā)性骨質(zhì)疏松腰背部疼痛[J].中醫(yī)正骨,2017,29(06):72-73,76.
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常規(guī)抗骨質(zhì)疏松療法聯(lián)合腰腹肌訓(xùn)練治療原發(fā)性骨質(zhì)疏松腰背部疼痛()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年06期
頁碼:
72-73,76
欄目:
影像診斷
出版日期:
2017-06-20

文章信息/Info

作者:
楊慶賢曹翠萍曹哲
廣東省清遠(yuǎn)市清城區(qū)人民醫(yī)院,廣東 清遠(yuǎn) 511500
關(guān)鍵詞:
骨質(zhì)疏松 骨質(zhì)疏松性骨折 疼痛 腰肌 腹肌 運(yùn)動(dòng)療法
摘要:
目的:觀察常規(guī)抗骨質(zhì)疏松療法聯(lián)合腰腹肌訓(xùn)練治療原發(fā)性骨質(zhì)疏松腰背部疼痛的臨床療效和安全性。方法:2015年12月至2016年12月,采用常規(guī)抗骨質(zhì)疏松療法聯(lián)合腰腹肌訓(xùn)練治療原發(fā)性骨質(zhì)疏松腰背部疼痛患者50例,男3例、女47例。年齡52~89歲,中位數(shù)75歲。其中49例患者并發(fā)不同程度的自發(fā)性胸腰椎骨折。治療前和治療開始后2、4、8周采用疼痛視覺模擬量表(visual analogue scale,VAS)評(píng)分對(duì)患者腰背部疼痛進(jìn)行評(píng)價(jià),治療前及治療開始后8周參照朱華擬定的運(yùn)動(dòng)功能評(píng)分標(biāo)準(zhǔn)對(duì)患者運(yùn)動(dòng)功能進(jìn)行評(píng)價(jià),并觀察患者并發(fā)癥發(fā)生情況。結(jié)果:患者腰背部疼痛VAS評(píng)分由治療前(7.02±0.67)分降至治療開始后2周(3.72±0.29)分、4周(1.96±0.60)分、8周(1.00±0.58)分。治療開始后8周運(yùn)動(dòng)功能評(píng)分由治療前(3.60±0.61)分降至(1.14±0.35)分。1例出現(xiàn)肺部感染,1例發(fā)生褥瘡,其余患者均無肺部感染、泌尿系感染、褥瘡、深靜脈血栓形成等并發(fā)癥發(fā)生。結(jié)論:常規(guī)抗骨質(zhì)疏松療法聯(lián)合腰腹肌訓(xùn)練能明顯緩解原發(fā)性骨質(zhì)疏松患者的腰背部疼痛,改善運(yùn)動(dòng)功能,值得臨床推廣應(yīng)用。

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更新日期/Last Update: 2017-06-20