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中国西南地区绝经后骨质疏松症妇女脉冲电磁场的血液流变学安全性:一项随机、安慰剂对照临床试验。

The hemorheological safety of pulsed electromagnetic fields in postmenopausal women with osteoporosis in southwest China: a randomized, placebo controlled clinical trial.

机构信息

Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Department of Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

Clin Hemorheol Microcirc. 2013;55(3):285-95. doi: 10.3233/CH-2012-1619.

Abstract

Apart from medications, pulsed electromagnetic fields (PEMFs) are used to treat osteoporosis nowadays. However studies on hemorheological safety of PEMFs were scarce. This randomized, placebo controlled clinical trial assessed whether PEMFs could lead to significant hemorheological changes. Fifty-five postmenopausal women were randomly assigned to receive placebo or PEMFs. Venous blood samples were collected at baseline and after treatment to measure 14 hemorheological determinants. Independent samples t-test, paired samples t-test and chi-squared tests were performed respectively. Relationships between variables were determined by Pearson correlation analysis. Multiple linear stepwise regression analysis was used to explore predictors of selected determinants. No significant differences existed between the placebo and PEMFs groups for any of the 14 hemorheological determinants (P>0.05) or the percentage of patients with hemorheological determinant within reference range (P>0.05). Hematocrit was found to be correlated with BMI (P=0.007). The most significant predictor of blood reduced viscosity at low shear rate was blood viscosity at low shear rate. And blood reduced viscosity at high shear rate was the most important predictor of plasma viscosity. These results showed, compared with placebo, PEMFs treatment of postmenopausal osteoporosis was not associated with adverse changes in hemorheological determinants, which may contribute to venous thromboembolism.

摘要

除了药物治疗,脉冲电磁场(PEMFs)也被用于治疗骨质疏松症。然而,关于 PEMFs 的血液流变学安全性研究却很少。本随机、安慰剂对照临床试验旨在评估 PEMFs 是否会导致明显的血液流变学变化。55 名绝经后妇女被随机分为安慰剂组或 PEMFs 组。在基线和治疗后采集静脉血样,以测量 14 项血液流变学指标。分别进行独立样本 t 检验、配对样本 t 检验和卡方检验。采用 Pearson 相关分析确定变量之间的关系。采用多元线性逐步回归分析探讨选定指标的预测因素。安慰剂组和 PEMFs 组在 14 项血液流变学指标中的任何一项(P>0.05)或血液流变学指标在参考范围内的患者百分比(P>0.05)均无显著差异。发现血细胞比容与 BMI 呈正相关(P=0.007)。低切变率下血液还原粘度的最显著预测因子是低切变率下的血液粘度。高切变率下血液还原粘度是血浆粘度的最重要预测因子。这些结果表明,与安慰剂相比,PEMFs 治疗绝经后骨质疏松症与血液流变学指标的不良变化无关,这可能有助于预防静脉血栓栓塞。

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