绝经后妇女原发性骨质疏松症辨证分型与症候特征的探讨  

CLINICAL DISCUSSION ON THE RELATION BETWEEN DIFFERENTIATION OF SYMPTOMS AND SIGNS FOR CLASSIFICA TION OF SYNDROME AND SYMPTONS IN FEMALE PRIMARY OSTEOPOROSIS POST-MENOPAUSE

作　　者：徐祖健[1] 汪付[1] 尹思源[1] 杨洪彬[1] 马川[1] 袁伟[1] 陈巍[1] 

机构地区：[1]四川省泸州医学院附属中医医院,646000

出　　处：《中医正骨》2008年第11期1-2,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：四川省中医药管理局资助课题(课题编号:2004B04)

摘　　要：目的:探讨绝经后妇女原发性骨质疏松症与证型之间的关系。方法:对118例正常绝经后女性T12～L2椎体进行骨密度测量,从中筛选出91例绝经后骨质疏松症(postmenopausal osteoporosis PMOP)患者,根据辨证分型的标准进行辨证分型。结果:绝经后女性骨质疏松症证型分布规律:肝肾阴虚型43例,占47.25%;肾阴虚型15例,占16.48%;肾阳虚型10例,占10.99%;脾肾阳虚型9例,占9.89%;脾胃虚弱型5例,占5.49%;气滞血瘀型9例,占9.89%;通过单因素方差分析,各型骨量减少程度无显著性差异。症候主要特征集中表现为腰膝酸软或疼痛79例,占86.81%。结论:初步认为原发性骨质疏松症这样一个涉及多脏腑的复杂病变,其中证型分布与骨密度之间无显著相关性,但症候分布特点仍有一定规律可循。Objective:To approach the relation between differentiation of symptoms and signs for classification of syndrome and symptoms in fe male primary osteoporosis post-menopause.Methods:118 cases of normal female post-menopause werechosen for the experiment,bone density of T12 ～ L2 centrum vertebraes were measured,then 91 cases of patients with postmenopausal osteoporosis (PMOP) were selected from them and car ried out for differentiation of symptoms and signs for classification of syndrome according to related standard.Result:The distributed rule on pat tern of syndrome in PMOP in female was seen,the type of hepatic and renal yin deficiency had 43 cases and accounted to 47.25%,the deficien cy of kidney-YTN type had 15 cases and accounted tol6.48%,the insufficiency of kidney-YANG type had 10 cases and accounted to10.99%,the asdthenic splenonephro-yang type had 9 cases and accounted to 9.89%,and the weakness of the spleen and stomach type had 5 cases and ac counted to 5.49%,the qi-stagnancy and blood stasis type had 9 cases and accounted to 9.89%.there had no significant difference on osteopenia degrees in all types according to single-factor variance analysis.The key feature of symptoms was seen localizedly on weak and ache of waist and knee,the case was 79 and accounted to 86.81 %.Conclusion:PMOP was the complicated pathological changes of several entrails involved ini tially,and there had no significant dependability on pattern of syndrome distribution and bone density.Some rule could be found on feature of symptoms disposition.

关 键 词：原发性骨质疏松症/诊断 中医证型 症候学 骨密度 临床研究 

分 类 号：R259[医药卫生—中西医结合]