标题：长期瑜珈锻炼对骨质疏松妇女雌激素与骨质成分的影响

      作者：石朝阳 1，戴海 2    (1.南宁市横县人民医院骨科，广西 南宁 530300；2.南宁市第一人民医院骨科，广西 南宁 530022)

      卷次： 2017年28卷8期

      【摘要】 目的 研究长期瑜珈锻炼对骨质疏松妇女雌激素与骨质成分的影响。方法 选择 2014年 9月至2015年9月在南宁市横县人民医院骨科收治的女性骨质疏松患者126例，将患者按随机数表法分为观察组和对照组，每组63例。对照组患者每周进行3次瑜伽锻炼，持续3个月；观察组患者每周进行4~5次瑜伽锻炼，持续6个月。两组患者锻炼前及锻炼结束后分别测定两组患者的雌激素水平和骨密度值。结果 观察组患者锻炼结束后的血清雌二醇(E2)水平为(163.01±18.14) pmoL/L，对照组锻炼结束后血清雌二醇水平为(107.91±17.11) pmol/L，与锻炼前比较，两组患者的雌二醇水平均明显提高，且观察组患者锻炼6个月后雌二醇水平提高较对照组更明显，差异均有统计学意义(P<0.05)；对照组患者锻炼结束后的腰椎正位及髋部骨密度值分别为(0.85±0.11) g/cm2、(0.63±0.11) g/cm2，观察组锻炼结束后则分别为(0.96±0.28) g/cm2、(0.71±0.17) g/cm2，与锻炼前比较，锻炼结束后两组患者的腰椎正位及髋部骨密度值均明显提高，且观察组患者均明显高于对照组，差异均有统计学意义 (P<0.05)。结论 长期瑜珈锻炼能够促进骨质疏松妇女雌激素分泌，有效提高患者骨密度，降低骨量丢失，改善患者骨健康。
      【关键词】 长期瑜伽锻炼；骨质疏松；妇女；雌激素；骨质
      【中图分类号】 R681 【文献标识码】 A 【文章编号】 1003—6350（2017）08—1263—03

Effect of long term yoga exercise on estrogen and bone in osteoporotic women.
SHI Zhao-yang 1, DAI Hai 2.1. Department of Orthopedics, the People's Hospital of Hengxian County, Nanning 530300, Guangxi, CHINA; 2. Departmentof Orthopedics, the First People's Hospital of Nanning City, Nanning 530022, Guangxi, CHINA
【Abstract】 Objective To study the effect of long term yoga exercise on estrogen (E2) and bone in osteoporoticwomen. Methods From September 2014 to September 2015, 126 women with osteoporosis in our hospital were select-ed. According to the random number table, the patients were divided into the study group and the control group (n=63 ineach group). Patients in the control group had yoga exercise 3 times a week for 3 months, and those in the study grouphad yoga exercise 4~5 times a week for 6 months. Levels of E2 and bone mineral density (BMD) in the two groups weremeasured before and after exercise. Results The E2 level in the study group after exercise was (163.01±18.14) pmoL/L,as compared with (107.91±17.11) pmol/L in the control group (P<0.05), and the levels after exercise were both signifi-cantly improved compared with those before exercise (P<0.05). The lumbar spine and hip BMD values after exercisewere (0.85±0.11) g/cm2, (0.63±0.11) g/cm2 in the control group, as compared with (0.96±0.28) g/cm2, (0.71±0.17) g/cm2in the study group (P<0.05), and the levels were all significantly improved compared with those before exercise (P<0.05). Conclusion Long term yoga exercise can improve the BMD, reduce bone loss and improve bone health in thepatients with osteoporosis.
      【Key words】 Long term yoga exercise; Osteoporosis; Women; Estrogen; Bone·论 著·doi:10.3969/j.issn.1003-6350.2017.08.020