[1]张晶.身痛逐瘀汤联合右归丸治疗老年糖尿病合并骨质疏松症92例[J].西部中医药,2019,32(02):92-95.
　ZHANG Jing.ShenTong ZhuYu Decoction Combined with YouGui Pills in Treating 92 Cases of Senile Diabetic Osteoporosis[J].Western Journal of Traditional Chinese Medicine,2019,32(02):92-95.
点击复制

身痛逐瘀汤联合右归丸治疗老年糖尿病合并骨质疏松症92例
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
32
期数:
2019年02期
页码:
92-95
栏目:
出版日期:
2019-02-15

文章信息/Info

Title:
ShenTong ZhuYu Decoction Combined with YouGui Pills in Treating 92 Cases of Senile Diabetic Osteoporosis
文章编号:
1004-6852(2019)02-0092-04
作者:
张晶
延安市中医医院内二科，陕西 延安 716000
Author(s):
ZHANG Jing
The Second Department of Internal Medicine, Yan′an Hospital of TCM, Yan′an 716000, China
关键词:
糖尿病; 骨质疏松症; 身痛逐瘀汤; 右归丸; 疗效; 血液流变性
Keywords:
diabetes mellitus;  osteoporosis;  ShenTong ZhuYu decoction;  YouGui pill;  curative effects;  hemorheology
分类号:
R587.1
文献标志码:
B
摘要:
目的：观察身痛逐瘀汤联合右归丸治疗老年糖尿病合并骨质疏松症(DOP)的临床疗效。方法：按照入院次序将184例DOP患者均分为2组，对照组以右归丸、钙尔奇D3治疗，观察组在对照组治疗的基础上加服身痛逐瘀汤。对比2组治疗前后中医证候积分、血清骨钙素(BGP)、尿液中Ⅰ型胶原交联氨基末端肽(NTX)含量、X线骨密度(BMD)值及血液流变性变化情况，评估2组临床疗效。结果：中医证候积分、血清BGP及尿液中NTX含量治疗前后2组组内比较，差异有统计学意义(P＜0.05)；治疗后2组间比较差异也有统计学意义(P＜0.05)。华氏三角区、股骨近端及腰椎L2、L3、L4节段处的BMD值治疗前后2组组内比较，差异有统计学意义(P＜0.05)；治疗后2组组间比较差异也有统计学意义(P＜0.05)。血液流变学指标治疗前后2组组内比较，差异有统计学意义(P＜0.05)；治疗后2组组间比较差异也有统计学意义(P＜0.05)。对照组总有效率70.65%；观察组总有效率92.39%，临床疗效2组比较，差异有统计学意义(P＜0.05)。结论：在常规控制血糖治疗的基础上，以右归丸和身痛逐瘀汤联合治疗，可有效缓解DOP患者临床症状，提高骨密度，加速骨形成，改善血液流变性，提高临床疗效。
Abstract:
Objective：To survey clinical effects of ShenTong ZhuYu decoction and YouGui pills in treating senile diabetic osteoporosis. Methods: According to the visiting sequence, 184 patients were randomized into two groups, the control group were treated by YouGui pills and Caltrate D3, and the observation group took ShenTong ZhuYu decoction on the foundation of the therapy the control group accepted. To compare TCM syndrome scores, BGP, urinary NTX contents, BMD values and hemorheology changes between both groups before and after treating, and assess clinical effects of both groups. Results: The difference was statistically significant in the comparisons of TCM syndrome scores, BGP, urinary NTX contents within two groups before and after treating (P＜0.05); the difference was statistically significant in the comparison between both groups after treating (P＜0.05). There were the significant differences in the comparisons of BMD values of ward′s triangle, proximal femur, lumbar L2, L3 and L4 segments within two groups before and after treating (P＜0.05); the difference was statistically significant in the comparison between both groups after treating (P＜0.05). The difference was statistically significant in the comparison of hemorheological indexes within two groups before and after treating (P＜0.05); the difference showes statistical meaning in the comparisons between both groups after treating (P＜0.05). total effective rates of the control group and the observation groups were 70.65% and 92.39%. The difference had statistical meaning in the comparisons of clinical effects between both groups(P＜0.05). Conclusion: Based on conventional therapy of controlling blood glucose, the combination of ShenTong ZhuYu decoction and YouGui pills in treating senile diabetic osteoporosis could effectively relieve clinical symptoms, raise BMD, enhance bone formation, improve hemorheology and raise clinical effects.

相似文献/References:

[1]段尚勤.糖脂消合罗格列酮治疗2型糖尿病合并非酒精性脂肪肝疗效观察[J].西部中医药,2013,26(02):88.
　DUAN Shangqin.Clinical Observation on TangZhiXiao and Rosiglitazone Maleate in Treating Type 2 Diabetes Mellitus Complicated with Non Alcoholic Fatty Liver Disease[J].Western Journal of Traditional Chinese Medicine,2013,26(02):88.
[2]张国民.消渴清颗粒治疗糖尿病周围神经病变疗效分析[J].西部中医药,2012,25(08):66.
　ZHANG Guo-min.XiaoKeQing Granules in Treating Diabetic Peripheral Neuropathy[J].Western Journal of Traditional Chinese Medicine,2012,25(02):66.
[3]张艳玲,高文菊.系统性干预对糖尿病并发症发生发展的影响[J].西部中医药,2013,26(12):81.
　ZHANG Yanling,GAO Wenju.Effects of Systematic Intervention on the Onset and Progression of Diabetic Complications[J].Western Journal of Traditional Chinese Medicine,2013,26(02):81.
[4]刘希宏.中西药物联用对老年高血压合并2型糖尿病患者肾功能的保护作用[J].西部中医药,2012,25(07):9.
　LIU Xi-hong.Protection of Integrated Traditional Chinese and Western Medicine on Renal Function of Patients with Senile Hypertension and Type 2 Diabetes Mellitus[J].Western Journal of Traditional Chinese Medicine,2012,25(02):9.
[5]呼宝娟.护理干预对肺结核合并糖尿病患者生活质量的影响[J].西部中医药,2013,26(09):125.
　HU Baojuan.Effects of Nursing Intervention on Life Quality of Diabetic Patients Complicated with Pulmonary Tuberculosis[J].Western Journal of Traditional Chinese Medicine,2013,26(02):125.
[6]梁伟.护理干预在2型糖尿病患者护理中的应用[J].西部中医药,2013,26(12):128.
　LIANG Wei.Application of Nursing Intervention to the Patients with Diabetes Mellitus Type 2[J].Western Journal of Traditional Chinese Medicine,2013,26(02):128.
[7]童玲利.外伤性跟骨骨折合并糖尿病患者围手术期护理体会[J].西部中医药,2014,27(02):131.
　TONG Lingli.Perioperative Care for the Patients with Diabetes Mellitus and Traumatic Calcaneal Fracture[J].Western Journal of Traditional Chinese Medicine,2014,27(02):131.
[8]付晓庆,李晓娟△.日常生活方式干预对糖尿病患者HbAlc及2hPBG的影响[J].西部中医药,2014,27(06):143.
　FU Xiaoqing,LI Xiaojuan.Influence of Daily Life Style Intervention on HbAlc and 2hPBG of the Patients with Diabetes Mellitus[J].Western Journal of Traditional Chinese Medicine,2014,27(02):143.
[9]齐丽丽,侯敏,尚新秀,等.2 型糖尿病患者八段锦锻炼态度的调查*[J].西部中医药,2014,27(08):36.
[10]牛建雄,王秀梅.糖尿病住院患者服药依从性现状分析[J].西部中医药,2014,27(08):67.

备注/Memo

备注/Memo:
收稿日期：2018-04-28 作者简介：张晶(1980—)，女，主治医师。研究方向：内分泌系统疾病的中西医结合治疗。
更新日期/Last Update: 2019-02-15