标题：三亚地区自然疗法防治老年骨质疏松症的临床观察

      作者：梁莉萍，唐进先，屈 苗，洪路贤，王 立
    (三亚市人民医院老年科，海南 三亚 572000)

      卷次： 2015年26卷18期

      【摘要】 目的 探讨自然疗法治疗老年骨质疏松症(Osteoporosis，OP)的疗效及安全性。方法 选取我院老
年科2012年2月至2014年4月门诊 OP患者86例，采用随机数字表法分为治疗组46例和对照组40例，每组患者
每日给予一定剂量的钙剂及维生素D治疗，治疗组配合自然疗法，即低频电磁场治疗、日光浴及运动疗法、空气
浴、海滨景观疗法、饮食疗法、音乐疗法。于治疗前及治疗后第 3、6和 12个月分别测定患者视觉模拟痛疼评分
(VAS)，并对患者进行治疗前及治疗后6、12个月腰椎及股骨颈骨密度(BMD)的测量。结果 (1)两组患者治疗前
及治疗后3、6及12个月的VAS评分对照，治疗组组内比较差异均有统计学意义(P<0.05)，对照组组内比较差异均
无统计学意义(P>0.05)，两组间同期比较差异均有统计学意义(P<0.05)，治疗组疼痛明显缓解；(2)两组治疗前及治
疗后6和12个月的腰椎及股骨颈BMD对照，治疗组组内比较差异均有统计学意义(P<0.05)，而对照组组内比较
差异均无统计学意义(P>0.05)，两组间同期BMD比较差异均有统计学意义(P<0.05)，治疗组BMD均明显提高。
结论 自然疗法防治老年骨质疏松症经济、安全、有效。

      【关键词】 老年骨质疏松症；自然疗法；三亚；防治

      【中图分类号】 R681 【文献标识码】 A 【文章编号】 1003—6350（2015）18—2684—04


Clinical efficacy and safety of natural therapy in the prevention and treatment of senile osteoporosis in Sanya.
LIANG Li-ping, TANG Jin-xian, QU Miao, HONG Lu-xian, WANG Li.
Department of Geriatrics, Sanya People's Hospital,
Sanya 572000, Hainan, CHINA

【Abstract】 Objective To investigate the efficacy and safety of natural therapy on senile osteoporosis (OP).
Methods Eighty-six OP outpatients from department of geriatrics between February 2012 and April 2014 were enrolled
in the study. The 86 patients were divided into two groups by random number table: the treatment group (n=46) and con-
trol group (n=40). A daily dose of calcium and vitamin D was given to patients from both groups. While at the same time
the treatment group received a natural therapy including low-frequency pulsed electromagnetic fields treatment, sunbath-
ing, exercising, air bathing, seashore viewing, diet and music therapy. VAS was measured before and at 3, 6 and12
months after treatment. Bone mineral density (BMDs) of the lumbar vertebrae and femoral neck were measured before
and at 6 and 12 months after treatment. Results (1) There were statistically significant differences in the VAS between
before and at 3, 6 and 12 months after treatment in treatment group (P<0.05). But no statistically significant difference in
the VAS between before and at 3, 6 and 12 months after treatment was found in control group (P>0.05). And there were
statistically significant differences in the same-period VAS between the two groups (P<0.05). Pain was significantly allevi-
ated in the treatment group. (2) There were statistically significant differences in the BMDs of lumbar vertebrae and femo-
ral neck before and at 6 and 12 months after treatment in treatment group (P<0.05), but no statistically significant differ-
ence was found in control group (P>0.05). There were also statistically significant differences in the same-period BMDs
between the two groups (P<0.05). And BMDs were significantly increased in the treatment group. Conclusion The
comprehensive natural therapy is affordable, safe and effective for the prevention and treatment of senile osteoporosis.

      【Key words】 Senile osteoporosis; Natural therapy; Sanya; Prevention and treatment
基金项目：海南省医学普通科研项目(编号：琼卫2012 PT-99)