督灸对老年骨质疏松症患者骨转换及微循环的影响  

Influence of Du Moxibustion for Bone Turnover Indexes and Microcirculation of Elderly Patients with Osteoporosis

作　　者：张晓改 赵恩广 吴红莲 ZHANG Xiaogai;ZHAO Enguang;WU Honglian(Hainan District People’s Hospital of Wuhai City,Inner Mongolia,Wuhai 016030,China;不详)

机构地区：[1]内蒙古乌海市海南区人民医院,内蒙古乌海016030

出　　处：《中国医学创新》2022年第18期131-135,共5页Medical Innovation of China

基　　金：内蒙古自治区科技计划项目(2019GG127)。

摘　　要：目的:探究及观察督灸对老年骨质疏松症患者骨转换及微循环的影响。方法:将2021年1-12月乌海市海南区人民医院收治的100例老年骨质疏松患者,根据随机数字表法将其分为对照组和观察组,每组50例。对照组进行常规骨质疏松症治疗,观察组则在对照组的基础上进行督灸治疗。比较两组治疗3个月后的临床总有效率、治疗前后的症状体征积分、不同部位的骨密度、骨转换指标[血清Ⅰ型胶原氨基末端肽(NTX)及Ⅰ型胶原羧基末端肽(CTX)]及微循环指标(足甲襞微循环加权积分)。结果:观察组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组腰背疼痛、腰膝酸软、下肢疼痛、步履艰难评分比较,差异均无统计学意义(P>0.05);治疗后,观察组腰背疼痛、腰膝酸软、下肢疼痛、步履艰难评分均低于对照组,差异均有统计学意义(P<0.05)。治疗前,两组的股骨颈、股骨粗隆和腰1、2、3、4骨密度比较,差异均无统计学意义(P>0.05);治疗后,观察组股骨颈、股骨粗隆和腰1、2、3、4骨密度均高于对照组,差异均有统计学意义(P<0.05)。治疗前,两组NTX及CTX水平比较,差异均无统计学意义(P>0.05);治疗后,观察组NTX及CTX水平均低于对照组,差异均有统计学意义(P<0.05)。治疗前,两组襻周状态积分、血液流态积分、襻周形态积分比较,差异均无统计学意义(P>0.05);治疗后,观察组襻周状态积分、血液流态积分及管襻形态积分均低于对照组,差异均有统计学意义(P<0.05)。结论:督灸治疗老年骨质疏松症的临床效果较好,对患者的骨转换及微循环状态具有较好的改善作用,在老年骨质疏松症患者中的应用价值较高。Objective:To investigate and observe the influence of Du moxibustion for bone turnover indexes and microcirculation of elderly patients with osteoporosis.Method:A total of 100 elderly patients with osteoporosis admitted to Hainan District People’s Hospital of Wuhai City from January to December 2021 were selected,they were divided into control group and observation group according to random number table,50 cases in each group.The control group were treated with routine treatment for osteoporosis,the observation group were treated with Du moxibustion on the basis of the control group.The total effective rate after 3 months of treatment,symptom and sign scores,bone mineral density in different parts,bone turnover indexes[serum typeⅠcollagen amino terminal peptide(NTX)and typeⅠcollagen carboxy terminal peptide(CTX)]and microcirculation(weighted integral of foot nailfold microcirculation)before and after treatment were compared between two groups.Result:The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the scores of lumbago and back pain,knee pain,lower limb pain and difficult walking between two groups(P>0.05);after treatment,the scores of lumbago and back pain,knee pain,lower limb pain and difficult walking in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in bone mineral density of femoral neck,femoral trochanter,lumbar 1,2,3 and 4 between two groups(P>0.05);after treatment,bone mineral density of femoral neck,femoral trochanter,lumbar 1,2,3 and 4 in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in NTX and CTX levels between two groups(P>0.05);after treatment,the NTX and CTX levels in the observation grou

关 键 词：督灸 骨质疏松症 骨转换 足甲襞微循环 

分 类 号：R246.1[医药卫生—针灸推拿学]