基于健康管理平台的中老年骨质疏松症中医定位定性分析与中医药治疗  

Locational and Qualitative Analysis of Traditional Chinese Medicine Treatment with Osteoporosis in the Mid-aged and Older Based on Health Management Platform

作　　者：陈大军[1] 谢栋[1] 马国亮[1] 蒙喜永[1] 杨俊[1] 周国和[1] 

机构地区：[1]解放军421医院外科系,广东广州510318

出　　处：《华南国防医学杂志》2017年第7期453-457,共5页Military Medical Journal of South China

基　　金：广东省中医药局科研课题(20131136)

摘　　要：目的利用健康管理平台数据分析,研究中老年骨质疏松症的中医辨证定位、定性的特点,评价补肾中草药治疗中老年骨质疏松症的临床疗效。方法回顾分析2013-06/2016-06月作者医院健康体检中心接诊的45岁以上体检人员中患有骨质疏松症患者223例,对受试者进行中医脏腑定位、证型定性,并根据患者的脏腑定位及证型定性进行中医药治疗,按治疗药物的不同分为钙尔奇D口服组和补肾方剂治疗组,治疗后再以性别分为男女两组,男(n=75),女(n=148),随访并评价临床疗效。结果女性主要为阴虚证74例(50.00%),阳虚证40例(27.03%),气虚证13例(8.78%);男性主要为阳虚证27例(36.00%),阴虚证22例(29.33%),精亏证10例(13.33%)。补肾方剂治疗组较钙尔奇D口服组临床有效率高,组间比较差异具有统计学意义(P<0.05)。结论健康管理平台数据分析可以准确的采集中老年骨质疏松症的临床评价指标,总结出本组中老年骨质疏松症脏腑定位以肾为主,定性以阴阳虚证为主,对临床随访与治疗具有重要的指导意义。Objective To analyze the locational and qualitative characteristics of syndrome differentiation of tradi- tional Chinese medicine （TCM）, and evaluate the tonifying kidney treatment of TCM in the mid-aged and elderly with os- teoporosis based on health management platform by using health management platform. Methods A total of 223 osteopo- rosis patients over 45 years old in health examination center of author＇s hospital were retrospectively analyzed from June 2013 to June 2016. All patients were used TCM for localization and type of syndrome differentiation, and received TCM treatment on the basis of above test results. According to different therapeutic drugs, all patients were divided into oral Caltrate D group and tonifying kidney prescription group, and then regrouped to male group and female group by gender after teratment. All patients were followed-up and evaluated the clinical effects. Results Women mainly were 74 cases with yin deficiency syndrome （50. 00%）, 40 cases with yang deficiency syndrome （27. 03%） and 13 cases with deficiency of vital energy （8. 78%）. Men mainly were 27 cases with yang deficiency syndrome （36. 00%）, 22 cases with yin defi- ciency syndrome （29. 33%） and 10 cases with deficiency of essence （13.33%）. The effective rate of tonifying kidney pre- scription group was higher than that of oral Caltrate D group （P〈0. 05）. Conclusion The health management platform data analysis can accurately collect clinical evaluation indexs of osteoporosis in the mid-aged and older. Above resuks show osteoporosis is diagnosed kidney locationally and deficiency syndrome of yin and yang quantitatively. It has a certain guiding significance for clinical follow-up and treament.

关 键 词：健康管理 骨质疏松症 中医 中医辩证分型 临床治疗 

分 类 号：R681[医药卫生—骨科学]