补肾健脾通络汤对骨质疏松症患者的骨密度、疼痛及中医证候改善分析

发布时间：2018-11-22 19:23

【摘要】：目的:探讨补肾健脾通络汤对骨质疏松症患者骨密度、疼痛及中医证候的改善分析。方法:选择2011年6月—2016年6月接诊的130例骨质疏松患者,通过随机数表法分为观察组和对照组,各65例。对照组给予益肾健骨片+钙尔奇片,观察组在对照组的基础上加上补肾健脾通络汤。比较两组患者治疗效果。结果:治疗后,观察组骨密度高于对照组[(0.78±0.22)g/cm2vs(0.69±0.17)g/cm2](P0.05),VAS评分低于对照组[(2.23±0.20)分vs(3.21±0.28)分](P0.05);观察组腰酸背痛、腰膝酸软、乏力、下肢痿软、肌肉抽搐、目眩、脊柱压痛、证候总积分均比对照组低(P0.05);观察组总有效率高于对照组[95.38%(62/65)vs81.54%(53/65)](P0.05);两组患者在治疗过程中均未发生不良反应。结论:在骨质疏松症患者中给予补肾健脾通络汤可提高患者骨密度,缓解疼痛感,并明显改善临床症状,效果显著,值得在临床上应用推广。
[Abstract]:Objective: to study the effect of Bushen Jianpi Tongluo decoction on bone mineral density (BMD), pain and syndrome of traditional Chinese medicine (TCM) in patients with osteoporosis. Methods: 130 patients with osteoporosis from June 2011 to June 2016 were randomly divided into observation group (n = 65) and control group (n = 65). The control group was treated with Yishen Jiangu tablet and the observation group was treated with Bushen Jianpi Tongluo decoction on the basis of the control group. To compare the therapeutic effect between the two groups. Results: after treatment, BMD in the observation group was higher than that in the control group [(0.78 卤0.22) g/cm2vs (0.69 卤0.17) g/cm2] (P0.05). The VAS score was lower than that in the control group [(2.23 卤0.20) vs (3.21 卤0.28)] (P0.05); In the observation group, the total scores of lumbago and back pain, waist and knee weakness, fatigue, lower extremity impotence, muscle convulsion, dizziness, spinal tenderness and syndromes were all lower than those in the control group (P0.05). The total effective rate in the observation group was higher than that in the control group [95.38% (62 / 65) vs81.54% (53 / 65)] (P0.05). Conclusion: Bushen Jianpi Tongluo decoction can improve bone mineral density, relieve pain and improve clinical symptoms in patients with osteoporosis. It is worth popularizing in clinic.
【作者单位】：上海瑞金医院桐庐分院中医院;临海市第一人民医院骨伤科;浙江省中医院骨科;
【基金】：浙江省自然科学基金项目(LY13H270003)
【分类号】：R259

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