[1]张长彪,赵军,邓强,等.基于“治未病·未病先防”理论探讨中西医结合预防绝经后骨质疏松症[J].西部中医药,2017,30(01):69-72.
　ZHANG Changbiao,ZHAO Jun,DENG Qiang,et al.Discussion on Integrated Chinese and Western Medicine in Preventing Post-menopausal Osteoporosis Based on the Theory of ″Preventive Treatment and Prevention before Disease Onset″[J].Western Journal of Traditional Chinese Medicine,2017,30(01):69-72.
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基于“治未病·未病先防”理论探讨中西医结合预防绝经后骨质疏松症()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
30
期数:
2017年01期
页码:
69-72
栏目:
出版日期:
2017-01-15

文章信息/Info

Title:
Discussion on Integrated Chinese and Western Medicine in Preventing Post-menopausal Osteoporosis Based on the Theory of ″Preventive Treatment and Prevention before Disease Onset″
文章编号:
1004-6852(2017)01-0069-04
作者:
张长彪1，赵军2，邓强2，李中锋2，彭冉东3
1武威职业学院直属附属医院/凉州区中医医院， 武威 凉州，733000； 2甘肃省中医院； 3 甘肃中医药大学
Author(s):
ZHANG Changbiao1, ZHAO Jun2, DENG Qiang2, LI Zhongfeng2, PENG Randong3
1 Wuwei Vocational Colleges Clirectly Affiliated Hospital /TCM Hospital of Liangzhou District , Wuwei 733000, China; 2 Gansu Provincial Hospital of Traditional Chinese Medicine; 3 Gansu University of Traditional Chinese Medicine
关键词:
绝经后骨质疏松症; 治未病; 八段锦
Keywords:
post-menopausal osteoporosis;  preventive treatment;  BaDuanJin
分类号:
R683
文献标志码:
B
摘要:
目的：观察中西医结合预防绝经后骨质疏松症的临床疗效。方法：将双能X线骨密度仪(DXA)检查结果为骨量减少的绝经后妇女74例，根据患者的就诊顺序按随机数字表法，随机分为治疗组和对照组各37例，治疗组采用西药钙尔奇D+中医练功疗法(八段锦)治疗；对照组单纯口服钙尔奇D治疗，总疗程1年，同时实施健康教育。分别于治疗前后检测患者血磷(P)、血钙(Ca)、碱性磷酸酶(ALP)及腰椎(L2～4)和左侧股骨颈骨密度值(BMD)。分别观察记录2组患者年龄、绝经年龄、身高、体质量、体质指数(BMI)及以上检测指标变化情况。结果：与治疗前比较，治疗后2组腰椎(L2～4)和左侧股骨颈T值及BMD值均提高，尤其腰椎(L2～4)部位BMD值与对照组比较治疗组改善更为显著(P＜0.05)；2组血钙水平治疗后升高(P＜0.05)，组间比较差异无统计学意义(P＞0.05)，2组血磷(P)治疗前后有所下降，但组间、组内比较差异均无统计学意义(P＞0.05)，2组ALP治疗后较治疗前下降，组内比较差异有统计学意义(P＜0.05)，治疗后组间比较差异无统计学意义(P＞0.05)。结论：采用中医八段锦练功疗法联合钙尔奇D预防绝经后骨质疏松症能早期预防PMOP，增强骨密度，缓解骨量下降趋势。
Abstract:
Objective: To observe the clinical effects of integrated Chinese and Western medicine in preventing post-menopausal osteoporosis. Methods: All 74 women with osteopenia by DXA were randomly divided into the treatment group and the control group by random number table according to visiting order, the treatment (n=37) group were given oral administration of caltrate D and TCM acrobatics treatment (BaDuanJin); the control (n=37) group were given simple caltrate D for one year and health education. The levels of P, Ca, ALP, L2～4 and left femur neck BMD of patients were observed before and after treatment. Age, time of menopause, height, BM, T and BMI and changes of the indexes were observed and recorded in two groups respectively. Results: Compared with before treatment, T andBMD in L2～4 and left femoral neck in two groups improved obviously after treatment, especially L2～4, BMD improved more obviously in the treatment group compared with the control group (P＜0.05); the level of serum calcium in two groups raised obviously when two groups before treating were compared with after treatment, there was comparability(P＜0.05), there was no statistical difference between two groups (P＞0.05), the level of P decreased after treatment in two groups, there was no statistical difference between the two groups and within one group(P＞0.05), the level of ALP decreased obviously after treatment, there were statistical differences among groups before and after treatment(P＜0.05), there was no obvious statistical difference between groups before and after treatment(P＞0.05). Conclusion: TCM BaDuanJin combined with caltrate D can prevent post-menopausal osteoporosis, PMOP, strengthen bone density and relieve bone mass lost obviously.

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备注/Memo

备注/Memo:
收稿日期：2016-10-11 *基金项目：国家中医药管理局国家中医临床研究基地业务建设科研专项课题(编号JDZX2015039)；甘肃省中医药管理局科研课题(编号GZK-2016-49)；武威市科学技术科研课题(编号WW150205）。作者简介：张长彪(1971—)，男，副主任医师。研究方向：骨伤、脊柱、关节疾病的中医防治。
更新日期/Last Update: 2017-01-15