电针治疗肝肾不足型绝经后骨质疏松症的临床观察

发布时间：2018-01-03 03:07

本文关键词：电针治疗肝肾不足型绝经后骨质疏松症的临床观察　出处：《福建中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：观察电针治疗肝肾不足型绝经后骨质疏松症的临床疗效,探寻更加有效的防治肝肾不足型绝经后骨质疏松的方法。方法：选择符合纳入标准及排除标准的肝肾不足型绝经后骨质疏松症患者66例,按其就诊顺序随机分为治疗组(电针组)与对照组(口服药物组)各33例。治疗组：取穴大杼(双侧)、肾俞(双侧)、足三里(双侧),同侧大杼和肾俞各接一组输出导线,两侧足三里接一组输出导线,采用2Hz疏密波,隔天1次,每次30分钟,三个月为一疗程,连续治疗2个疗程。对照组：给予口服碳酸钙D3片(钙尔奇)治疗,每次1片,早晚各1次,连续服用6个月。治疗前后对患者相应临床症状进行评分及骨密度的测定,观察两组患者临床症状改善的效果及骨密度变化情况,通过SPSS18.0统计软件对收集整理后的资料进行统计分析和比较。结果：(1)治疗结束时,电针组与药物组治疗肝肾不足型绝经后骨质疏松的总有效率分别为86.67%和80.64%,两组有效率比较差异有统计学意义(P0.05),且在愈显率方面,电针组明显高于药物组。(2)两组患者的临床症状评分均出现不同程度下降,其中尤以电针组下降更为明显(P0.05),在对腰背疼痛、腰膝酸软症状的改善上,电针组要优于药物组。(3)治疗结束后,电针组和药物组治疗后骨密度与治疗前相比,骨密度均值均有不同程度的增加,提示总体骨量未下降,有增加的趋势,但差异无统计学意义(P0.05)。两组治疗后左股骨Neck和腰椎骨密度与治疗前相比,均无显著性差异(P0.05).。且各组骨密度平均值增加幅度较低,尚未达到正常骨密度水平。结论：电针治疗肝肾不足型绝经后骨质疏松症有一定的疗效,能有效改善患者的临床症状,延缓了骨量减少的的进程,具有补肾强筋健骨的作用,可作为防治绝经后骨质疏松症(肝肾不足型)的有效方法之一。
[Abstract]:Objective: to observe the clinical effect of electroacupuncture on postmenopausal osteoporosis with liver and kidney deficiency. Methods: 66 cases of postmenopausal osteoporosis with liver and kidney deficiency were selected according to the inclusion criteria and exclusion criteria. According to the order of their visits, they were randomly divided into treatment group (electroacupuncture group) and control group (oral drug group), 33 cases in each group. The same side of Dazhu and Shenshu each received a group of output conductors, and two sides of Zusanli followed by a group of output conductors, using 2Hz dense wave, once every other day, 30 minutes each time, three months as a course of treatment. The control group was treated with oral calcium carbonate D3 tablets, one tablet each time, one time in the morning and evening. The clinical symptoms and bone mineral density (BMD) were measured before and after treatment for 6 months. The improvement of clinical symptoms and the changes of BMD were observed in the two groups. SPSS18.0 statistical software was used to analyze and compare the collected data. Results: 1) at the end of treatment. The total effective rates of electroacupuncture group and drug group in treating postmenopausal osteoporosis with liver and kidney deficiency were 86.67% and 80.64, respectively. The difference between the two groups was statistically significant (P 0.05). In addition, the clinical symptom scores of the patients in the electroacupuncture group were significantly higher than those in the drug group and the two groups, especially in the electroacupuncture group, especially in the electroacupuncture group (P 0.05). In the improvement of back pain and pain of waist and knee, electroacupuncture group was better than drug group after treatment. After treatment, BMD of electroacupuncture group and drug group were compared with that before treatment. The mean value of bone mineral density (BMD) increased to some extent, indicating that the total bone mass did not decrease, and had an increasing trend. But the difference was not statistically significant (P 0.05). The bone mineral density of left femur and lumbar vertebrae in the two groups after treatment was higher than that before treatment. There was no significant difference in bone mineral density (BMD) of all groups (P 0.05) and the increase of BMD in each group was lower than that in control group (P < 0.05). Conclusion: electroacupuncture is effective in treating postmenopausal osteoporosis with liver and kidney deficiency, which can effectively improve the clinical symptoms and delay the process of bone loss. It can be used as an effective method to prevent and treat postmenopausal osteoporosis.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1

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