原发骨质疏松症痛点分布与经筋理论相关性的临床研究  

Clinical study on the relationship between pain point distribution of primary osteoporosis and Meridian theory

作　　者：耿春梅[1] 陈奇刚[1] 刘杏蓉 黄梓越 张瑾[1] 张海金 赵永祥[1] 周汝寿[1] GENG Chunmei;CHEN Qigang;LIU Xingrong(Kunming Hospital of traditional Chinese medicine,Kunming Yunnan 650500,China;Baoshan Hospital of traditional Chinese medicine,Baoshan Yunnan 678000,China)

机构地区：[1]昆明市中医医院,云南昆明650500 [2]保山市中医医院,云南保山678000

出　　处：《四川中医》2022年第2期186-190,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：云南省科技厅-云南中医药大学联合专项:骨质疏松症的中医经筋辨证研究[2017FF116(-043)];第六批全国名老中医院专家学术经验继承人[人教发(2017)29号]

摘　　要：目的:探寻原发骨质疏松症患者痛点分布与经筋理论的相关性。方法:对60例原发骨质疏松症患者经筋病灶点出现的部位和频次进行统计,并进行初步临床应用观察。结果:60例原发骨质疏松患者的结筋病灶点,足太阳经筋占比最多76.60%,其中腰部最多,占44.86%,骶部次之,占20.55%;出现率最高的依次为腰大次、环跳次、秩边次。对这些患者运用复方当归制剂结筋病灶点注射治疗,与口服阿仑膦酸钠对比,两组治疗后VAS评分有显著差异(P<0.05),临床疗效比较无显著差异(P>0.05)。结论:探讨原发骨质疏松症痛点分布与经筋理论的相关性,对结筋病灶点分布规律进行总结及初步临床研究,为临床经筋辨证治疗提供依据。Purpose:to explore the correlation between pain point distribution and tendon-channel theory in patients with primary osteoporosis.Methods:60 cases of primary osteoporosis patients by the tendon focus of the site and frequency of occurrence of statistics.Results:Among 60 patients with primary osteoporosis,76.60%of the pain points were in the foot-taiyang Meridian,44.86%in the waist,20.55%in the hip,20.55%in the sacrum.The highest occurrence rate was waist Yaodaci、Huangtiaoci、Zhibianci.Compared with alendronate sodium,there was significant difference in VAS score between the two groups(P<0.05),and no significant difference in clinical effect(P>0.05).Conclusion:The correlation of pain point distribution of primary osteoporosis in the muscle meridian was discussed,and the distribution rule of the focus point of the tendon was summarized.

关 键 词：原发骨质疏松症 经筋 痛点 结筋病灶点 足太阳经筋 

分 类 号：R259[医药卫生—中西医结合]