“骨肉不相亲”理论脾肾论治老年活动障碍综合征  

Exploration of treatment of senile mobility disorder syndrome from the spleen and kidney based on the theory of no correlation between the bone and the muscle

作　　者：郭婷 滕士超[1] GUO Ting;TENG Shichao(The Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学附属医院,江苏南京210029

出　　处：《中国骨质疏松杂志》2024年第10期1553-1555,1560,共4页Chinese Journal of Osteoporosis

基　　金：江苏省干部保健科研项目-老年肌少症患者中医证候分布规律及证型间代谢组学差异性研究(BJ20020);江苏省老年健康科研项目-老年医学临床技术应用研究项目(LD2021003);老年医学临床技术应用研究项目带头人(LR2021003)。

摘　　要：目前全球老年人口数量持续上涨,人口老龄化问题日渐加剧,伴随出现的各种老年慢性疾病成为社会广泛关注的热点问题。老年活动障碍综合征(senile mobility disorder syndrome, SMDS)是近几年刚出现的新概念,是一种慢性退行性肌肉骨骼系统疾病,是指伴随着年龄增长继而产生的肌肉减少症以及与衰老增龄相关的骨质疏松症,临床上易导致老年人出现高跌倒风险和高骨折风险,导致老年人死亡率增高,残疾率增高,临床诊疗花费增高等。因此,尽早对该疾病进行临床干预,延缓其病情进展至关重要。目前西医针对本病治疗相对局限,主要以药物对症治疗为主,但因各类药物不同的不良反应,不建议长期使用。中医上认为,本疾病的发生与脾、肾两脏密切相关,本文查阅相关文献,重点探讨从脾肾论治SMDS的理论依据,其中主要从“骨肉不相亲理论”内涵入手分析,以期为SMDS的临床诊疗提供一定的理论及实践依据。At present,the number of elderly people in the world continues to rise.The problem of population aging is increasingly aggravated.Various chronic diseases of the elderly have become a hot issue of widespread concern in society.Senile mobility disorder syndrome(SMDS)is a new concept that has just emerged in recent years.It is a chronic degenerative musculoskeletal system disease,which refers to sarcopenia and osteoporosis related to aging.It is prone to lead to a high risk of fall and fracture in the clinic,resultsing in increased mortality and disability among the elderly.The cost of clinical diagnosis and treatment increases.Therefore,early clinical intervention of the disease is very important to delay its progression.At present,Western medicine mainly focuses on symptomatic treatment of this disease.However,it is not recommended for long-term use due to different adverse reactions of various drugs.According to traditional Chinese medicine,the occurrence of this disease is closely related to the spleen and kidney.This article consults to relevant literature and focuses on the theoretical basis of treating SMDS from the spleen and kidney.It mainly analyzes the theory of the no correlation between the bone and the muscle,in order to provide certain theoretical and practical basis for the clinical diagnosis and treatment of SMDS.

关 键 词：老年活动障碍综合征 肌肉减少症 骨质疏松症 骨肉不相亲 脾肾论治 

分 类 号：R259[医药卫生—中西医结合]