温针合用健脾养骨汤治疗原发性骨质疏松症85例临床观察  

Clinical Observation on 85 Cases with Primary Osteoporosis by Combination of Warm Acupuncture and Jianpi-yangwei Decoction

作　　者：文利 齐亮 罗文轩 

机构地区：[1]湘潭市第二人民医院,湖南湘潭411100

出　　处：《中医药导报》2012年第8期74-76,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：湘潭市科技计划项目(20091006)

摘　　要：目的:研究温针合用健脾养骨汤治疗原发性骨质疏松症的疗效,为骨质疏松症提供有效的临床治疗方法。方法:选择符合纳入标准的245例原发性骨质疏松症患者,随机分为3组,治疗组85例,使用温针结合健脾养骨汤进行治疗;钙尔奇组82例口服钙尔奇D600片治疗;仙灵骨葆组78例口服仙灵骨葆胶囊治疗。治疗前和治疗后第7天、90天采用疼痛视觉模拟评分法(VAS),评估3组患者疼痛缓解的程度,并观察治疗前和治疗后第90天3组患者骨密度的变化。结果:治疗后不同时间的疗效,VAS评分,治疗组优于钙尔奇组、仙灵骨葆组(P<0.05,P<0.01)。3组治疗前骨密度无明显差异(P>0.05),治疗后治疗组骨密度提高与钙尔奇组、仙灵骨葆组比较,差异有统计学意义(P<0.05,P<0.01)。结论:温针合用健脾养骨汤治疗原发性骨质疏松症能提高骨质密度,减轻疼痛,具有较好的临床治疗效果。Objective： To study the effect of the combination of warm acupuncture and Jianpi-yangwei decoction in the treatment of primary osteoporosis, in order to provide an effective clinical treatment. Methods： 245 primary osteoporosis pa- tients were randomly divided into three groups：The group A（n=85） were treated by warm acupuncture combining with the Jian- pi-yangwei decoction; Group B（n=82） were treated only by oral administration of Caltrate D600; Group C（n=78） were treated only by oral administration of Xianlinggubao capsule. The pain visual analog scale（VAS）method was used to assess the severity of pain after 7 and 90 day＇s treatment, to assess the pain releasing. The bone mineral density（BMD）of the patients were de- tected before and after90 day＇s treatment. Results： After the treatment, the effect and assessment of VAS showed group A was better than the group B and group C（P〈0.05, P〈0.01）. There was no significant difference（P〉0.05） in BMD among the three groups Before treatment, but there was after treatment（P〈0.05, P〈0.01）.Conclusion： Warm acupuncture combining with the Jianpi-yangwei decoction can improve bone mineral density and reduce back pain, with good clinical results.

关 键 词：温针 健脾养骨汤 原发性骨质疏松症 疗效 

分 类 号：R274[医药卫生—中医骨伤科学]