低强度复合振动联合阿仑膦酸钠治疗绝经后妇女慢性腰背痛的疗效

发布时间：2018-05-27 20:13

本文选题：全身复合振动 + 阿仑膦酸钠　；参考：《中国老年学杂志》2017年23期

【摘要】：目的观察低强度全身复合振动(WBV)联合阿仑膦酸钠(ALE)治疗绝经后妇女慢性腰背痛的疗效。方法选择绝经后骨质疏松(OP)患者60例,随机分为WBV组、ALE组和WBV+ALE治疗组(联合组),每组20例;WBV组给予低强度WBV(振动强度0.5~0.8 g,频率45~55 Hz,每次振动30 min,1次/d,5次/w,共6个月);ALE组予ALE 70 mg/w,1次/w;联合组给予WBV+ALE治疗。然后使用数字评价量表(NRS)测评治疗前后腰背痛情况。结果治疗6个月后,WBV组腰背部NRS评分降低22.03%,ALE组降低26.49%,联合组降低37.82%,3组均有显著差异(均P0.05),联合组降低程度显著高于WBV组和ALE组(P0.05)。结论 WBV、ALE和WBV+ALE3种治疗方法均能改善绝经后妇女慢性腰背痛症状,其中低强度WBV联合ALE疗效最佳。
[Abstract]:Objective to observe the effect of low intensity WBV combined with alendronate on chronic low back pain in postmenopausal women. Methods A total of 60 patients with postmenopausal osteoporosis were selected. We were randomly divided into WBV group and WBV ALE treatment group (combined group, 20 cases of WBV group were given low intensity WBV (vibration intensity 0.50.8g, frequency 455Hz), every vibration 30 mins / d 5 times / s / w, ALE 70 mg / w / w for 6 months, WBV ALE was given to the combined group respectively). The control group was treated with ALE 70 mg / w / w for 6 months, and the control group was given ALE 70 mg / w / w for 6 months respectively. Then NRSs were used to evaluate the low back pain before and after treatment. Results after 6 months of treatment, the NRS scores in the lumbar and back of the WBV group were reduced by 26.49 in the WBV group and 26.49 in the ale group, and in the combined group were significantly lower than those in the WBV group and the ALE group (all P 0.05). Conclusion both WBV ale and WBV ALE3 can improve the symptoms of chronic low back pain in postmenopausal women, among which low intensity WBV combined with ALE is the best.
【作者单位】：莆田市第一医院骨科;
【基金】：福建省医学创新课题资助项目(No.2014-CXB-31) 莆田市科技局资助项目(No.2012S01)
【分类号】：R580

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