中医推拿治疗骨质疏松症24例临床观察  

Clinical Observation of Chinese Massage for Osteoporosis:A Study of 24 Cases

作　　者：刘步云[1] 史梦龙[1] 刘灿坤[1] 

机构地区：[1]四川省骨科医院,四川成都610041

出　　处：《新中医》2017年第10期82-84,共3页New Chinese Medicine

摘　　要：目的:观察中医推拿治疗骨质疏松症的临床疗效。方法:选取本院48例骨质疏松症患者,随机分为对照组和观察组各24例。对照组行常规治疗,观察组行中医推拿治疗。观察患者治疗前后腰背、关节疼痛评分及膝关节功能评分的变化,测量骨密度含量及骨代谢指标。结果:治疗后,2组腰背、关节视觉模拟评分法(VAS)评分均较治疗前降低(P<0.05),美国膝关节协会评分标准(AKSS)评分均较治疗前升高(P<0.05)。观察组的腰背、关节VAS评分均低于对照组(P<0.05),AKSS评分高于对照组(P<0.05)。治疗后,观察组的骨密度较治疗前增加,且增加量多于对照组,差异均有统计学意义(P<0.05)。治疗后,2组骨钙素(BGP)水平均较治疗前升高(P<0.05),尿脱氧吡啶酚(DPD)水平均较治疗前降低(P<0.05)。治疗后2组BGP及DPD水平比较,差异均无统计学意义(P>0.05)。结论:中医推拿治疗骨质疏松症,可缓解患者的腰背、关节疼痛状况,改善膝关节功能及骨代谢指标,效果显著。Objective：To observe the clinical effect of Chinese massage for osteoporosis. Methods：Selected 48 cases of patients with osteoporosis in our hospital,and divided theminto the control group and the observation group randomly,24 cases in each group. The control group was treated with routine treatment,while the observation group was treated with Chinese massage. Observed changes of lowback pain score,joint pain score as well as knee function score in both groups,and determined the content of bone mineral density and bone metabolic markers before and after treatment. Results：After treatment,scores of lowback and visual analogue scale（VAS） in both groups were both decreased when compared with that before treatment（P0.05）. American knee society knee scores（AKSS） in both groups were increased when compared with that before treatment（P0.05）. Lowback scores and VAS scores of joints in the observation group were lower than those in the control group（P 0.05）, while AKSS in the observation group was higher than that in the control group（P 0.05）. After treatment, the content of bone mineral density in the observation group was increased when compared with that before treatment,and the content was more than that in the control group,differences being significant（P0.05）. After treatment,comparing with those before treatment,levels of bone gla protein（BGP） in the two groups were both risen（P0.05）,while levels of urine deoxypyridinoline（DPD） in both groups were declined（P0.05）. There was no significant difference being found in the comparison of levels of BGP and DPD between the two groups after treatment（P0.05）. Conclusion：The therapy of Chinese massage for osteoporosis can relieve lowback pain and joint pain as well as improve knee function and bone metabolic markers,which has significant effect.

关 键 词：骨质疏松症 中医推拿 视觉模拟评分法(VAS)评分 美国膝关节协会评分标准(AKSS)评分 骨密度 骨代谢 

分 类 号：R589.5[医药卫生—内分泌]