三骨方结合中药穴位贴敷治疗老年糖尿病合并骨质疏松症临床研究  

Clinical Study of Using Sangu Prescription Combined with Chinese Herbs Acupoint Application in the Treatment of Senile Diabetes Mellitus with Osteoporosis

作　　者：乔敏[1] 刘建华[2] QIAO Min;LIU Jianhua(Health and Rehabilitation Ward,Ji'nan Hospital of Traditional Chinese Medicine,Ji'nan Shandong 250000,China;Nursing Department,Ji'nan Hospital of Traditional Chinese Medicine,Ji'nan Shandong 250000,China)

机构地区：[1]济南市中医医院保健康复病房,山东济南250000 [2]济南市中医医院护理部,山东济南250000

出　　处：《四川中医》2022年第2期126-130,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：山东省自然科学基金面上项目(编号:ZR2019MH134)

摘　　要：目的:探究三骨方结合中药穴位贴敷治疗老年糖尿病合并骨质疏松症(肝肾不足证)患者效果。方法:研究合计纳入105老年糖尿病合并骨质疏松症患者,均由我院2018年1月~2020年1月收治,采取随机数字表法将其分为对照组(53例)与观察组(52例),予以对照组患者常规临床康复干预,予以观察组患者常规干预+三骨方结合中药穴位贴敷,比较两组患者干预后临床疗效、干预前后中医症状(口干咽燥、腰背疼痛、目眩耳鸣、下肢痿弱/疼痛等)积分变化及骨密度、骨代谢指标变化、腰痛评分(视觉模拟疼痛量表,VAS)及生活质量量表(SF-36)评分变化、患者满意率。结果:观察组患者干预后临床有效率(96.15%)高于对照组患者(84.91%),P<0.05;干预前,两组患者口干咽燥、腰背疼痛、目眩耳鸣、下肢痿弱/疼痛等中医症状积分、腰椎正位1~4椎体及左侧股骨颈骨密度、骨钙素(OC)及β-Ⅰ型胶原羧基端肽(β-CTX)等骨代谢指标、VAS及SF-36评分比较,P>0.05,干预后各组患者口干咽燥、腰背疼痛、目眩耳鸣、下肢痿弱/疼痛等中医症状积分、腰椎正位1~4椎体及左侧股骨颈骨密度、骨钙素(OC)及β-Ⅰ型胶原羧基端肽(β-CTX)等骨代谢指标、VAS及SF-36评分均改善,观察组患者干预后口干咽燥、腰背疼痛、目眩耳鸣、下肢痿弱/疼痛等中医症状积分、腰椎正位1~4椎体及左侧股骨颈骨密度、骨钙素(OC)及β-Ⅰ型胶原羧基端肽(β-CTX)等骨代谢指标、VAS及SF-36评分均优于对照组,P<0.05;较对照组(84.91%),观察组患者干预满意率(98.08%)更高,P<0.05。结论:三骨方结合中药穴位贴敷可较好促进老年糖尿病合并骨质疏松症(肝肾不足证)患者康复,患者疗效提升,症状改善,疼痛缓解,骨密度及骨代谢指标改善,患者十分认可,可推广应用。Objective:To explore the effect of using Sangu Prescription combined with Chinese herbs acupoint application in the treatment of elderly patients with diabetes mellitus complicated with osteoporosis(liver and kidney deficiency syndrome).Methods:Combined study included 105 elderly diabetic patients with osteoporosis,all by our hospital from January 2018 to January 2020 were analyzed,taking the random number table method divided into a controlled group(53 cases)and an observation group(52 cases)and routine clinical rehabilitation intervention,to the controlled group patients give the observation group of patients with conventional intervention+3 bone combined with traditional Chinese medicine acupuncture point attach,comparing the two groups after intervention in patients with clinical efficacy,TCM symptoms before and after the intervention(dry throat and dry mouth,back pain,giddy tinnitus,lower limb impotent weak/pain)integral and bone mineral density and bone metabolism index changes,low back pain score(visual analog pain scale,VAS)and quality of life questionnaire(SF-36)score changes,patient satisfaction.Results:The clinical effective rate of the observation group(96.15%)was higher than that of the controlled group(84.91%),P<0.05;before intervention,two groups of patients dry throat and dry mouth,back pain,giddy tinnitus,lower limb impotent weak/pain of traditional Chinese medicine symptom integral,the lumbar spine is a 1~4 vertebral body and the left side of the femoral neck BMD,osteocalcin(OC)and collagen type betaⅠcarboxyl end peptide(beta CTX)and other bone metabolic index,VAS and SF-36 scale,P>0.05.Groups of patients after intervention dry throat and dry mouth,back pain,giddy tinnitus,lower limb impotent weak/pain of traditional Chinese medicine symptom integral,lumbar was a 1~4 vertebral body and the left side of the femoral neck BMD,osteocalcin(OC)and collagen type betaⅠcarboxyl end peptide(beta CTX)and bone metabolic index,VAS and SF-36 scale were improving,the observation group of patients after the

关 键 词：老年糖尿病合并骨质疏松症 三骨方 中药穴位贴敷 疗效 骨密度 

分 类 号：R259[医药卫生—中西医结合]