补脾益肾方药治疗老年性骨质疏松症30例  

Bupi Yishen Prescription in the Treatment of Senile Osteoporosis for 30 Cases

作　　者：谭英华[1] 杨茂伟[2] 

机构地区：[1]辽宁省沈阳市第九人民医院骨科,沈阳110024 [2]中国医科大学附属一院骨外科,沈阳110001

出　　处：《中国中医药现代远程教育》2016年第3期85-86,共2页Chinese Medicine Modern Distance Education of China

摘　　要：目的观察补脾益肾方药治疗老年性骨质疏松症临床疗效。方法随机将60例骨质疏松症患者根据病情、性别、年龄等因素分为对照组(30例)和观察组(30例),对照组给予钙尔奇-D 600 mg/d和维生素D3 0.25 mg/d口服,观察组在对照组基础上给予补脾益肾方药口服,治疗4周为一个疗程,2组均治疗3个疗程。分别于治疗前后检测患者血清BGP,BAP水平,双能X射线骨密度仪测定患者腰椎L2-L4,股骨近端、髂骨骨密度。结果与对照组比较,经补脾益肾方药治疗后,观察组患者血清BGP、BAP水平显著降低(P<0.05),骨密度明显升高(P<0.05);与治疗前比较,观察组患者经补脾益肾方药治疗后,血清BGP、BAP水平显著降低(P<0.01,P<0.05),骨密度明显升高(P<0.05)。结论补脾益肾方药治疗老年性骨质疏松症临床疗效确切,值得推广应用。Objective To observe the clinical effect of Bupi Yishen prescription in the treatment of senile osteoporosis. Methods 60 senile patients with osteoporosis were randomly divided into control group（ n =30） and observation group（ n =30）. The control group was given Gaierqi-D Pian 600mg/d and vitamin D3 0.25 mg/d. The observation group was given Bupi Yishen prescription. They were treated 12 weeks. The serum BGP, BAP changes, Dual-energy X-ray bone density measurement lumbar L2- L4, the femoral proximal and iliac bone mineral density were observed. Results After 12 weeks, in the observation group, the serum BGP and BAP decreased obviously（P〈0.05）, bone mineral density increased significantly（P〈0.05）. Compared with before treatment, in the observation group, serum BGP and BAP decreased obviously（ P〈0.01, P〈0.05）, bone mineral density increased significantly（ P〈0.05）. Conclusion Bupi Yishen prescription in the treatment of senile osteoporosis has definite effect, and is worthy of popularization and application.

关 键 词：补脾益肾 老年科 骨质疏松症 痹证 

分 类 号：R259[医药卫生—中西医结合]