Changes of Bone Mineral Density and Bone Microstructure in Elderly Patients with Osteoporosis by Traditional Chinese Medicine Yijinjing

Abstract

Abstract: Objective To investigate the effects of traditional Chinese medicine Yijinjing on the changes of bone mineral density and bone microstructure in elderly patients with osteoporosis. Methods Eighty-eight elderly patients with osteoporosis who were diagnosed and treated in the Affiliated Hospital of Traditional Chinese Medicine of Nanyang Medical College from August 2018 to December 2021 were selected as the research objects. Accorded to the 1:1 allocation principle of the random number table methods, the patients were divided into Yijinjing group and control group with 44 cases in each group. The control group were given traditional aerobic exercise and weight-bearing exercise for rehabilitation, and the Yijinjing group were given traditional Chinese medicine Yijinjing rehabilitation on the basis of the rehabilitation of the control group. The rehabilitation and exercise were observed in both groups for 6 months, and changes in bone mineral density and bone microstructure were detected and recorded. Results After rehabilitation, the total effective rates of Yijinjing group was higher than that in control group, but there was no statistical significance between two groups (P>0.05). The bone mineral density of the lumbar spine L₂-L₄ in the Yijinjing group and the control group after rehabilitation were significantly higher than that before treatment (P<0.05), and the Yijinjing group were also significantly higher than the control group after rehabilitation (P<0.05). The distance of trabecular bone after rehabilitation in the two groups were significantly higher than that before rehabilitation (P<0.05), and the thickness of trabecular bone were significantly lower than that before rehabilitation (P<0.05). The content of serum calcium and phosphorus in Yijinjing group and control group after rehabilitation were higher than those before rehabilitation (P<0.05), and the Yijinjing group after rehabilitation were also significantly higher than that in control group (P<0.05). Conclusion The application of traditional Chinese medicine Yijinjing in elderly patients with osteoporosis can improve bone mineral density and overall rehabilitation effect, improve the bone microstructure of patients, and promote the increase of blood calcium and blood phosphorus content in patients.

Key words: raditional Chinese medicine exercises, Yijinjing, osteoporosis, the elderly, bone mineral density, bone microstructure

CLC Number:

R247.9

CHEN Hong. Changes of Bone Mineral Density and Bone Microstructure in Elderly Patients with Osteoporosis by Traditional Chinese Medicine Yijinjing[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(4): 39-42.

References

[1] 李永杰,牛芯蕊,扈盛.不同中国传统养生功法对骨质疏松症的疗效评价:网状Meta分析[J].针灸推拿医学(英文版),2021,19(4):258-270.
[2] 贺洁,王拥军,朱莲,等.社区综合干预骨质疏松症多元效果评估的初探[J].上海预防医学,2021,33(4):306-310.
[3] 袁秋宝,孔海军.不同形式运动对原发性骨质疏松患者骨代谢指标影响的Meta分析[J].中国组织工程研究,2020,24(17):2782-2788.
[4] SHOJAA M, VON STENGEL S, KOHL M, et al.Effects of dynamic resistance exercise on bone mineral density in postmenopausal women: a systematic review and meta-analysis with special emphasis on exercise parameters[J]. Osteoporos Int,2020,31(8):1427-1444.
[5] 王立红,张跃,白璧辉,等.中医传统运动与骨质疏松症相关性研究现状[J].中国骨质疏松杂志,2019,25(8):1086-1091,1099.
[6] 曹青青,朱诗话,郝锋,等.健身气功防治中老年人原发性骨质疏松症的Meta分析[J].中国医药导报,2018,15(30):131-136.
[7] 刘静,吴文忠,徐道明,等.传统功法治疗原发性骨质疏松症临床研究进展[J].中国骨质疏松杂志,2019,25(12):1817-1820.
[8] 郭书军,苗万坡,苗瀛方,等.洛阳市中老年人骨质疏松健康教育需求和自我管理行为调查[J].实用预防医学,2021,28(5):625-628.
[9] KEMMLER W, SHOJAA M, KOHL M, et al.Effects of Different Types of Exercise on Bone Mineral Density in Postmenopausal Women: A Systematic Review and Meta-analysis[J]. Calcif Tissue Int,2020,107(5):409-439.
[10] 《中国老年骨质疏松症诊疗指南》(2018)工作组,中国老年学和老年医学学会骨质疏松分会.中国老年骨质疏松症诊疗指南(2018)[J].中国实用内科杂志,2019,39(1):38-61.
[11] 夏晓妹,杨士鹏,葛若兰,等.中国老年男性骨质疏松症影响因素的Meta分析[J].中国骨质疏松杂志,2021,27(2):198-202.
[12] 王杰,杨宝辉,李浩鹏.骨质疏松性腰椎椎体压缩性骨折的危险因素分析[J].中国中医骨伤科杂志,2021,29(8):29-33.
[13] 赵翠萍,隋丽娟,滕达,等.健康教育在老年骨质疏松性髋部骨折护理中的效果及护理策略[J].国际护理学杂志,2021,40(2):270-272.
[14] 肖红叶,陈震宇,龚黎玲,等.基于循证原则的综合化认知行为干预对社区高危女性骨质疏松人群预防行为及骨密度的影响[J].中国药物与临床,2021,21(13):2244-2248.
[15] 文海昭,梁绛槟,王立,等.北京市老年人骨质疏松的危险因素[J].中国老年学杂志,2022,42(6):1484-1486.
[16] 盛娇娇,虞艳飞,徐琴,等.全程引领式健康教育对绝经后骨质疏松症和腰椎间盘突出症患者的影响[J].中国妇幼保健,2021,36(18): 4340-4342.
[17] 邓睿华,许小明,钟际香,等.绝经后骨质疏松妇女运动管理的最佳证据总结[J].护理研究,2022,36(4):640-644.
[18] 张文,郑伟,高磊,等.乌鲁木齐地区老年骨质疏松患病状况及危险因素[J].中国老年学杂志,2021,41(14):2997-3000.
[19] 刘娜,崔巍,田瑗,等.健步走运动对老年人心血管、骨密度及平衡能力的影响[J].中国老年学杂志,2021,41(18):3997-4000.
[20] 李淑燕,贾勤,戴雅琴,等."医、社、家三位一体"服务模式在老年骨质疏松患者健康管理中的应用研究[J].护理与康复,2021,20(4):97-101.