理疗结合中医治疗对围绝经期女性胸肋关节疼痛的疗效观察
【摘要】目的：探讨理疗结合中医治疗方法治疗围绝经期骨质疏松女性胸肋关节疼痛的临床效果。方法：选取2018年1月至2019年1月于承德市中心医院康复医学科门诊就诊的围绝经期骨质疏松女性胸肋关节疼痛患者60例，采用随机数表法将入组患者随机分为对照组和实验组，各30例。对照组给予常规口服止疼药物及补钙治疗，实验组在对照组基础上加用低频脉冲磁场治疗及手法治疗。对比两组患者疼痛缓解程度(NRS法评分)及骨密度值。结果：在实施治疗前，两组患者的一般资料比较，差异均无统计学意义(P>0.05);治疗后实验组的患者疼痛症状较对照组缓解明显(P<0.05)，两组骨密度值治疗前后无明显增高(P>0.05)。结论：围绝经期女性胸肋关节疼痛患者应用理疗结合中医治疗效果远优于常规治疗，可有效地缓解疼痛症状，但半年内骨密度值无明显改善。
【关键词】围绝经期;胸肋关节;疼痛;骨质疏松症;低频脉冲磁场
Physical therapy combined with traditional Chinese medicine in the treatment of menopausal period pain in the sternocostal joints of women
, 百拇医药
YANG Zheng1，ZHANG Bingran2△，DU Jianwen2
1 Chengde Medical College，Hebei Chengde 067000;2 Chengde Central Hospital，Hebei Chengde 067000
[Abstract]
Objective：to explore the clinical effect of physiotherapy combined with traditional Chinese medicine in the treatment of osteoporosis menopausal period female sternocostal joint pain. Methods：from January 2018 to January 2019， 60 osteoporosis menopausal period female patients with sternocostal joint pain were selected from the outpatient Department of Rehabilitation Physiology of Chengde Central Hospital. The enrolled patients were randomly divided into the control group and the experimental group with 30 cases each. The control group was treated with conventional oral painkiller and calcium therapy， while the experimental group was treated with low frequency pulsed magnetic field and manual therapy on the basis of the control group.The degree of pain relief (NRS score) and bone mineral density were compared between the two groups. Result：before the treatment， there was no significant difference in general data between the two groups (P>0.05). After treatment， pain symptoms in the experimental group were significantly relieved compared with those in the control group (P<0.05)， and BMD in the two groups was not significantly increased before and after treatment (P>0.05). Conclusion：the effect of physiotherapy combined with traditional Chinese medicine in menopausal period women with sternocostal joint pain is far better than conventional treatment， which can effectively relieve pain symptoms， but no significant improvement in bone mineral density within half a year.
, 百拇医药
[Key words]menopausal period;sternocostal joint;osteoporosis OP;low frequency pulsed magnetic field
【中图分类号】R322.7+2
【文献标识码】A
【文章编号】2095-6851(2020)02-103-01
围绝经期是指女性开始在内分泌、生理与臨床表现等方面改变，直至停经后1年内[1]。这个时期约可经历10年左右。在这一时期，女性由于卵巢功能下降导致体内雌激素水平降低，研究发现雌激素具有刺激成骨细胞和抑制破骨细胞的功能，因此，围绝经期女性骨形成受到抑制，骨吸收超过骨形成，从而导致骨量减少，引起围绝经期女性骨质疏松症。调查显示[2]，围绝经年龄段女性约占总人口的10%，即我国约1.3亿以上。据WHO估计约30%围绝经期女性罹患骨质疏松症，并随年龄增加而增高，其发生有隐匿性，而骨痛是骨质疏松最常见的早期临床表现之一，需引起足够的重视。, http://www.100md.com(杨峥 张炳冉 杜建文)
【关键词】围绝经期;胸肋关节;疼痛;骨质疏松症;低频脉冲磁场
Physical therapy combined with traditional Chinese medicine in the treatment of menopausal period pain in the sternocostal joints of women
, 百拇医药
YANG Zheng1，ZHANG Bingran2△，DU Jianwen2
1 Chengde Medical College，Hebei Chengde 067000;2 Chengde Central Hospital，Hebei Chengde 067000
[Abstract]
Objective：to explore the clinical effect of physiotherapy combined with traditional Chinese medicine in the treatment of osteoporosis menopausal period female sternocostal joint pain. Methods：from January 2018 to January 2019， 60 osteoporosis menopausal period female patients with sternocostal joint pain were selected from the outpatient Department of Rehabilitation Physiology of Chengde Central Hospital. The enrolled patients were randomly divided into the control group and the experimental group with 30 cases each. The control group was treated with conventional oral painkiller and calcium therapy， while the experimental group was treated with low frequency pulsed magnetic field and manual therapy on the basis of the control group.The degree of pain relief (NRS score) and bone mineral density were compared between the two groups. Result：before the treatment， there was no significant difference in general data between the two groups (P>0.05). After treatment， pain symptoms in the experimental group were significantly relieved compared with those in the control group (P<0.05)， and BMD in the two groups was not significantly increased before and after treatment (P>0.05). Conclusion：the effect of physiotherapy combined with traditional Chinese medicine in menopausal period women with sternocostal joint pain is far better than conventional treatment， which can effectively relieve pain symptoms， but no significant improvement in bone mineral density within half a year.
, 百拇医药
[Key words]menopausal period;sternocostal joint;osteoporosis OP;low frequency pulsed magnetic field
【中图分类号】R322.7+2
【文献标识码】A
【文章编号】2095-6851(2020)02-103-01
围绝经期是指女性开始在内分泌、生理与臨床表现等方面改变，直至停经后1年内[1]。这个时期约可经历10年左右。在这一时期，女性由于卵巢功能下降导致体内雌激素水平降低，研究发现雌激素具有刺激成骨细胞和抑制破骨细胞的功能，因此，围绝经期女性骨形成受到抑制，骨吸收超过骨形成，从而导致骨量减少，引起围绝经期女性骨质疏松症。调查显示[2]，围绝经年龄段女性约占总人口的10%，即我国约1.3亿以上。据WHO估计约30%围绝经期女性罹患骨质疏松症，并随年龄增加而增高，其发生有隐匿性，而骨痛是骨质疏松最常见的早期临床表现之一，需引起足够的重视。, http://www.100md.com(杨峥 张炳冉 杜建文)
参见：首页 > 医疗版 > 症状 > T > 疼痛