[1]胡咏新,孙 利,曹 雯,等.基于骨肉不相亲理论探讨低频脉冲电磁场联合腰背肌训练对糖尿病性骨质疏松患者IL6及TNFα的影响*[J].陕西中医,2019,(12):1686-1689.
 HU Yongxin,SUN Li,CAO Wen,et al.Effect of low frequency pulsed electromagnetic field combined with lumbar dorsal muscle training based on the theory of disharmony between bone and muscle in IL6,TNFα[J].,2019,(12):1686-1689.
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基于骨肉不相亲理论探讨低频脉冲电磁场联合腰背肌训练对糖尿病性骨质疏松患者IL6及TNFα的影响*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年12期
页码:
1686-1689
栏目:
临床研究
出版日期:
2019-12-05

文章信息/Info

Title:
Effect of low frequency pulsed electromagnetic field combined with lumbar dorsal muscle training based on the theory of disharmony between bone and muscle in IL6,TNFα
文章编号:
DOI:10.3969/j.issn.10007369.2019.12.008
作者:
胡咏新孙 利曹 雯范尧夫胡 欣
南京中医药大学附属中西医结合医院内分泌病科(南京210028)
Author(s):
HU YongxinSUN LiCAO Wenet al.
Department of Endocrinae,Affiliated Hospital of Integrated Traditional  Chinese and Western Medicine Nanjing University of Chinese Medicine(Nanjing 210028)
关键词:
骨肉不相亲低频脉冲电磁场糖尿病性骨质疏松腰背肌训练IL6TNFα
Keywords:
Key words Disharmony between bone and musclePulsed electromagnetic fieldDiabetic osteoporosisLower back muscle trainingIL6TNFα
分类号:
R587.1
文献标志码:
A
摘要:
摘 要 目的:观察低频脉冲电磁场(PEMFs)联合腰背肌训练对糖尿病性骨质疏松中医证候积分及IL6、TNFα的影响。方法:选取2型糖尿病骨质疏松患者64例,随机分为两组,联合组及对照组,两组基础治疗均给予左归丸口服,联合组在此基础上给予PEMFs联合腰背肌训练,对照组仅予基础治疗,观察不同治疗方法对两组中医证候积分以及IL6及TNFα的影响。结果:联合组经PEMFs联合腰背肌训练后,症状改善明显,中医证候积分较前降低,总有效率93.75%,较对照组37.5%有统计学差异。联合组治疗后TNFα、IL6\[(8.16±0.63)pg/ml、(4.29±0.32)pg/ml\]较治疗前降低\[(9.36±0.32)pg/ml、(4.70±0.51)pg/ml\],组内及组间比较均有明显统计学意义。结论:炎症参与2型糖尿病骨质疏松的进程,PEMFs联合腰背肌训练对骨代谢有保护作用,结合中医理论基础,更好地确证了“骨肉不相亲”的科学内涵。
Abstract:
Abstract Objective:To observe the effect of pulsed electromagnetic field (PEMFs) combined with lower back muscle training on the level of IL6 and TNFα in patients with diabetic osteoporosis. Methods:64 patients with diabetic osteoporosis were divided into two groups,combination group and control group,Zuogui pills were given to 2 groups,combination group also combination of PEMFs and lower back muscle training. To evaluate the two groups of the levels of IL6,TNFα and the TCM syndrome points. Results:After combination of PEMFs and lower back muscle training,the syndrome scores of TCM were obviously improved compared with the previous,the total efficiency 93.75% vs 37.5% of control group. After the treatments,TNFα、IL6\[(8.16±0.63) pg/ml、(4.29±0.32) pg/ml\]were lower than before\[(9.36±0.32) pg/ml、(4.70±0.51)pg/ml\] in the combination group.There were statistically decreased compared with before and between groups. Conclusion:The process of osteoporosis in cases with type 2 diabetes may involve in inflammation,PEMFs combined with lower back muscle training play a protective role on bone metabolism,given the theoretical basis of TCM,it’s more conclusive for the scientific implication of disharmony between bone and muscle .

参考文献/References:

[1] American Diabetes Association.The expert committee on the diagnosis and classitication of diabetes mellitus:report of the export committee on the diagnosis and classification of diabete mellitus[J].Diabetes Care,1997,20:11831197.
[2] WHO.assessment of osteoportic fracture risk and its role in screening for postmenopausal osteoporosis[J]. WHO Technical Report Series,Geneva.
[3] Kanazawa I. Interaction between bone and glucose metabolism[J]. Endoc J,2017,64(11):10431053.
[4] Kanazawa I,Sugimoto T. Diabetes mellitusinduced bone fragility[J]. Intern Med,2018,57(19):27732785.
[5] 雷映红,陈 辉,刘 菊.老年男性2型糖尿病患者骨密度与炎症因子相关性研究[J].中国骨质疏松杂志,2017,23(2):213215.
[6] Schett G,David JP. The multiple faces of autoimmunemediated bone loss[J]. Nat Rev Endocrinol,2010,6(12):698706.
[7] Hygum K,StarupLinde J,Harslof T,et al. Mechanisms in endocrinology:diabetes mellitus,a state of low bone turnover  a systematic review and metaanalysis[J]. Eur J Endocrinol,2017,176(3):137157.
[8] 贾 真,何 旺,张渭涛,等.2型糖尿病患者骨转换指标与血糖的相关性[J].陕西医学杂志,2017,46(8):10831084.
[9] Cortet B,Lucas S,LegrouxGerot I,et al. Bone disorders associated with diabetes mellitus and its treatments[J].Joint Bone Spine,2019,86(3):315320.
[10] 王 贺,王莲地,阳 琰,等. 2型糖尿病合并骨质疏松患者血清25羟维生素D、鸢尾素水平观察及其与骨密度的关系[J].中国糖尿病杂志,2018,26(7):569572.
[11] 柴 毅,樊巧玲.左归丸治疗骨质疏松症相关机制[J].中国实验方剂学杂志,2018,24(17):201208.
[12] Lombardi G,SanchisGomar F,Perego S,et al. Implications of exerciseinduced adipomyokines in bone metabolism[J]. Endocrine,2016,54(2):284305.
[13] Morley JE,Malmstrom TK,RodriguezManas L,et al.Frailty,sarcopenia and diabetes[J]. J Am Med Dir Assoc,2014,15(2):853859. 
[14] 钟 文,谢春光,高 泓,等.糖尿病与肌少症关系研究新进展[J].中国糖尿病杂志,2017,25(7):662665.
[15] 胡咏新,郑仁东,范尧夫,等.左归丸对老龄糖尿病患者骨代谢及跌倒风险的观察研究[J].按摩与康复医学,2017,8(24):5154.
[16] Bettis T,Kim BJ,Hamrick MW. Impact of muscle atrophy on bone metabolism and bone strength:implications for musclebone crosstalk with aging and disuse[J]. Osteoporos Int,2018,29(8):17131720.
[17] 黄武维,杨 琳.电针结合补肾健脾方对老年骨质疏松患者骨密度及血钙和血清OPN水平的影响[J].陕西中医,2016,37(4):481483.

备注/Memo

备注/Memo:
*江苏省干部保健科研课题(BJ18030)
更新日期/Last Update: 2019-12-19