针灸对男性骨质疏松症患者骨代谢的影响

发布时间：2018-05-29 17:10

本文选题：男性 + 骨质疏松症　；参考：《中医杂志》2011年03期

【摘要】：目的观察针灸对男性骨质疏松症骨代谢的影响。方法将55例男性骨质疏松症患者随机分为治疗组25例、对照组30例。治疗组在口服阿仑磷酸钠的基础上再进行针灸治疗,对照组则口服阿仑磷酸钠,两组均连续治疗6个月后观察临床症状积分及骨代谢指标的变化。结果治疗后两组的症状积分较治疗前均有明显下降(P0.01),治疗组较对照组下降更为明显(P0.01);治疗后两组患者的睾酮(T)、雌二醇(E2)水平与治疗前比较无统计学差异(P0.05),而碱性磷酸酶(ALP)、骨钙素(BGP)、甲状旁腺素(PTH)、尿吡啶酚(PYD)/尿肌酐(Cr)与治疗前比较均有明显的下降(P0.01),治疗后两组间比较,治疗组对PTH、PYD/Cr的改善程度明显优于对照组(P0.05)。结论针灸疗法可改善男性骨质疏松症患者临床症状及骨代谢指标,针药联合治疗优于单纯药物疗法。
[Abstract]:Objective to observe the effect of acupuncture and moxibustion on bone metabolism in male osteoporosis. Methods 55 male patients with osteoporosis were randomly divided into treatment group (n = 25) and control group (n = 30). The treatment group was treated with acupuncture and moxibustion on the basis of oral alendronate, while the control group was treated with alendronate. The changes of clinical symptom score and bone metabolism index were observed after 6 months of continuous treatment in both groups. Results after treatment, the symptom score of the two groups was significantly lower than that of before treatment, and the decrease of the treatment group was more obvious than that of the control group, and the levels of testosterone, estradiol E2) in the two groups were not significantly different from those before treatment (P 0.05), but alkaline. The levels of phosphatase, osteocalcin (BGP), parathyroid hormone (PTH), urinary pyridyl (PYDN) / urinary creatinine (Cr) were significantly decreased compared with those before treatment (P 0.01), and there were significant differences between the two groups after treatment. The improvement of PYD / Cr in the treatment group was better than that in the control group (P 0.05). Conclusion Acupuncture and moxibustion therapy can improve the clinical symptoms and bone metabolism index of male patients with osteoporosis. The combination of acupuncture and medicine is superior to simple drug therapy.
【作者单位】：连云港市第一人民医院骨质疏松科;江苏省省级机关医院康复医学科;
【基金】：江苏省科技厅社会发展基金项目(BS2004559)
【分类号】：R246

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