首页|不同剂量骨化三醇联合五禽戏对绝经后骨质疏松症患者的早、中、远期疗效比较

不同剂量骨化三醇联合五禽戏对绝经后骨质疏松症患者的早、中、远期疗效比较

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目的 探讨不同剂量骨化三醇联合五禽戏对绝经后骨质疏松症患者的早、中、远期疗效。方法 选择2022年7月至2023年1月在牡丹江医学院附属红旗医院就诊的106例绝经后骨质疏松症患者为研究对象。采用随机数表法将患者分为对照组和观察组,每组各53例。对照组采取小剂量骨化三醇联合五禽戏治疗,观察组采取大剂量骨化三醇联合五禽戏治疗。在患者治疗3、6和12个月时,从患者腰椎L1~L4骨密度、碱性磷酸酶(ALP)水平、心理和疼痛评分方面比较两种疗法的早、中、远期疗效。结果 治疗3、6个月时,两组患者腰椎L1~L4骨密度、ALP水平和疼痛评分比较,差异无统计学意义(P>0。05)。治疗12个月时,观察组患者腰椎L1~L4骨密度和疼痛评分高于对照组,ALP水平低于对照组,差异有统计学意义(P<0。05)。治疗3、6和12个月时,两组患者心理评分比较,差异均无统计学意义(P>0。05)。结论 对于绝经后骨质疏松症患者,不同剂量骨化三醇联合五禽戏治疗的早期和中期疗效并不显著。但在长期疗效方面,高剂量骨化三醇联合五禽戏更为理想。
Comparison of early,middle and long-term therapeutic efficacies of different doses of calcitriol combined with Wuqinxi on postmenopausal osteoporosis patients
Objective To investigate the early,middle and long-term therapeutic efficacies of different doses of calcitriol combined with Wuqinxi on postmenopausal osteoporosis patients.Methods A total of 106 patients with postmenopausal osteoporosis admitted to Hongqi Hospital Affiliated to Mudanjiang Medical University from July 2022 to January 2023 were selected as the research subjects.The patients were divided into the control group(n=53)and the observation group(n=53)according to the random number table method.The control group was treated with low dose of calcitriol combined with Wuqinxi,while the observation group was treated with high dose of calcitriol combined with Wuqinxi.At 3,6,and 12 months of treatment,the early,medium,and long-term efficacy of the two therapies was compared in terms of lumbar spine L1-L4 bone density,alkaline phosphatase(ALP)levels,psychological and pain scores.Results At 3 and 6 months of treatment,there was no statistically significant difference in lumbar spine L1-L4 bone density,ALP level and pain score between the two groups(P>0.05).At 12 months of treatment,patients in the observation group had higher lumbar spine L1-L4 bone density and pain scores and lower ALP levels than the control group,with statistically significant differences(P<0.05).At 3,6 and 12 months of treatment,the psychological scores of patients in the two groups were compared,and the differences were not statistically significant(P>0.05).Conclusion For postmenopausal osteoporosis patients,with different doses of calcitriol combined with Wuqinxi treatment,there is no statistically significant difference in the early and middle therapeutic efficacies.However,in terms of long-term therapeutic efficacy,high dose of calcitriol combined with Wuqinxi is more ideal.

CalcitriolWuqinxiPostmenopausal osteoporosisEarly therapeutic efficacyMid-term therapeutic efficacyLong-term therapeutic efficacy

庄天微、谢伟、胡志洋、张晶、祁莉娜、王彤彤

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牡丹江医学院附属红旗医院内分泌科,黑龙江牡丹江 157000

黑龙江省牡丹江林业中心医院骨外科,黑龙江牡丹江 157000

骨化三醇 五禽戏 绝经后骨质疏松症 早期疗效 中期疗效 远期疗效

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(21)