子午流注纳支法穴位敷贴对肝肾不足证老年性骨质疏松症患者功能障碍的影响  

Effects of acupoint application of midnight-noon ebb-flow with hour-prescription of points on dysfunction for sufferers with senile osteoporosis

作　　者：叶艳[1] 高静[1] 吴晨曦[1] 柏丁兮[1] 朱蓉[1] 吴霜[1] 

机构地区：[1]成都中医药大学护理学院,611137

出　　处：《重庆医学》2017年第4期464-467,共4页Chongqing medicine

基　　金：四川省科技厅科技支撑计划项目(2014SZ0213)

摘　　要：目的探讨子午流注纳支法穴位敷贴对老年性骨质疏松症(SOP)患者功能障碍的影响。方法将符合标准的76例肝肾不足证SOP患者按随机数字表分为观察组(按时取穴组)和对照组(非按时取穴组),各38例。两组患者均接受口服钙尔奇D治疗,在此基础上,观察组实施子午流注纳支法穴位敷贴,对照组实施常规穴位敷贴。两组患者均于干预前、干预第4周末、干预第8周末采用简体中文版Oswestry功能障碍指数(ODI)问卷表评价功能障碍;于干预前、干预第8周末采用健康调查简表(SF-36)评价生活质量。结果观察组ODI问卷表得分在干预后各时间点均低于同期对照组(P<0.01);重复测量方差分析结果显示,ODI问卷表组间效应、时间效应及交互效应差异均有统计学意义(P<0.01);进一步两两比较显示,后一时间点得分均低于前一时间点(P<0.01)。观察组干预后SF-36的8个维度得分均高于对照组(P<0.05)。结论子午流注纳支法穴位敷贴能有效改善SOP患者的功能障碍,提高生活质量,且功能障碍的改善随时间的延长效果愈佳。Objective To explore the effects of acupoint application of midnight-noon ebb-flow with hour-prescription of points on dysfunction for sufferers with senile osteoporosis（SOP）. Methods In this study, 76 patients with SOP in clinic in this hospital were recruited and randomly divided into the experimental group（n= 38） and the control group（n： 38） in accordance with random number table. Both were on the basic treatment of Caltrate D. The experimental group performed acupoint application of midnight-noon ebb-flow with hour-prescription of points, while the control one performed common acupoint application. Oswestry Disability Index（ODD was used to evaluate the dysfunction before,after 4 weeks and 8 weeks of intervention. SF-36 was adopted to evaluate the patients＇ quality of life before and after 8-week＇s intervention. Results The ODI scores of the experimental group after 4 weeks and 8 weeks were lower than those of the control group（P〈0.01）. Repeated ANOVA indicated that the scores of ODI in group effect,time effect and interaction effect were of statistical signifieance（P〈0.01）. Further comparison showed that the scores of ODI in three different time sections suggested that the latter time point were lower than those of the former time point（P〈0. 01）. The scores of eight dimensions of SF-36 after the intervention of the experimental group were higher than those of the control group（P〈0.05）. Conclusion The acupoint application of midnight-noon ebb-flow with hour-prescription of points can effectively improve the dysfunction whose curative effect enhanced with time increasing and improve the quality of life.

关 键 词：骨质疏松 功能障碍 子午流注 纳支法 穴位敷贴 

分 类 号：R259[医药卫生—中西医结合]