中医血瘀证与骨质疏松症关系的研究

发布时间：2018-07-15 14:05

【摘要】：中医对于骨质疏松症(OP)的认识可以追溯至《黄帝内经》,提出了"骨痿""骨痹""骨枯"等论断。临床上中医治疗OP往往需要从肾论治,兼顾健脾,而活血化瘀之法亦必不可少,活血化瘀治法针对OP骨重建平衡紊乱和骨微观结构退化问题改善其根源,促使新骨化生,旧骨守位。许多专家普遍发现,OP患者存在着舌下脉络曲张、舌紫暗有瘀斑瘀点、皮肤黏膜出现瘀斑、口唇齿龈显现暗红等表现,与中医血瘀证状十分相符。本研究依据《骨质疏松病例中医辨证分型观察表》证状标准,统计就诊于中国中医科学院西苑医院400份OP病例,通过对其骨密度、血瘀证候、舌下络脉血瘀程度、疼痛程度、脉搏波传导速度和骨折次数进行检测或评分。依据实验结果,分析骨密度与以上参数的相关性,进而论证中医血瘀证的存在与OP有着密切的联系。
[Abstract]:The understanding of osteoporosis (op) in TCM can be traced back to Huangdi's Internal Classic, and the conclusion of "bone impotence", "bone arthralgia" and "bone blight" is put forward. In clinical treatment of op, it is often necessary to treat op from the kidney and to strengthen the spleen, and the method of promoting blood circulation and removing blood stasis is also necessary. The method of promoting blood circulation and removing blood stasis can improve the root causes and promote the formation of new ossification in view of the disorder of bone reconstruction balance and the degeneration of bone microstructure of op. The old bones hold their place. Many experts generally found that patients with op have sublingual choroid varicose, tongue purple dark stasis spots, skin mucous membrane ecchymosis, lip gingival appearance dark red and so on, which is very consistent with traditional Chinese medicine blood stasis syndrome. According to the syndrome standard, 400 cases of op in Xiyuan Hospital, Chinese Academy of traditional Chinese Medicine (CAS), were statistically analyzed on the basis of bone mineral density, blood stasis syndrome, blood stasis degree of sublingual collaterals and blood stasis, and the degree of pain. Pulse wave velocity and fracture times were measured or scored. According to the experimental results, the correlation between bone mineral density and the above parameters was analyzed, and the existence of blood stasis syndrome in TCM was proved to be closely related to op.
【作者单位】：中国中医科学院博士后科研流动站——西苑医院;
【分类号】：R259

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