杜仲颗粒与鲑降钙素注射液联合常规疗法治疗原发性骨质疏松症临床观察
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Clinical Observation of Duzhong Granules and Calcitonin Salmon Injection Combined with Routine Therapy for Primary Osteoporosis
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    目的:观察在常规西医疗法基础上予杜仲颗粒联合鲑降钙素注射液治疗原发性骨质疏松症(POP)肝肾不足证的疗效。方法:选取116例POP肝肾不足证患者,随机分为对照组和治疗组各58例。2组均予调整生活方式、适量运动等常规干预,对照组口服碳酸钙D3片与阿仑膦酸钠片,治疗组在对照组基础上予杜仲颗粒联合鲑降钙素注射液治疗。2组疗程均为6月。比较2组患者治疗前后的肝肾不足证症状评分、骨密度(BMD)、血清中骨硬化蛋白(SOST)和Dickkopf-1(DKK-1) 水平,评价治疗后的临床疗效。结果:治疗组总有效率为96.55%,高于对照组(82.76%),差异有统计学意义(P<0.05)。2组腰脊疼痛、步履艰难、目眩、酸软少力评分均较治疗前下降(P<0.01),治疗组各项评分均低于对照组(P<0.01)。2组腰椎正位(L2~4)和右股骨颈的BMD均较治疗前升高(P<0.01),治疗组2项BMD值均高于对照组(P<0.01)。2组血清中SOST和DKK-1水平均较治疗前下降(P<0.01),治疗组2项指标水平均低于对照组(P<0.01)。结论:在常规西医疗法基础上予杜仲颗粒联合鲑降钙素注射液治疗POP肝肾不足证疗效确切,可有效改善患者的临床症状、促进骨形成,降低患者血清中的SOST和DKK-1水平可能是其疗效途径之一,值得进一步探讨。

    Abstract:

    Objective:To observe the curative effect of Duzhong granules combined with calcitonin salmon injection on the basis of routine western therapy for primary osteoporosis(POP)with liver and kidney deficiency syndrome.Methods:Selected 116 cases of patients with liver and kidney deficiency syndrome and divided them into the control group and the treatment group randomly,58 cases in each group.Both groups received routine intervention of adjusting lifestyle and taking moderate exercise.The control group received calcium carbonate and vitamin D3 tablets and alendronate sodium tablets orally for treatment,while the treatment group additionally received Duzhong granules combined with calcitonin salmon injection based on the treatment of the control group.Both groups received treatment for 6 months.Compared changes of symptom scores of liver and kidney deficiency syndrome and levels of bone mineral density(BMD),and sclerostin(SOST)and Dickkopf-1(DKK-1)in serum of patients in both groups before and after treatment.Evaluated the clinical effect after treatment.Results:The total effective rate was 96.55%in the treatment group,being higher than that in the control group which was 82.76%,the difference being significant(P < 0.05).Scores of pain in lumbar and spine,difficulty in walking,dizziness,soreness and weakness as well as myasthenia in both groups were all decreased when compared with those before treatment(P<0.01).Each scores above in the treatment group were lower than those in the control group(P<0.01).The BMD value of anterial position of lumbar spine(L2~4)and right neck of femur in both groups was all increased when compared with that before treatment(P<0.01).The two BMD value in the treatment group was higher than that in the control group(P<0.01).Levels of SOST and DKK-1 in serum in both groups were all decreased when compared with those before treatment(P<0.01).Levels of the above two indexes in the treatment group were lower than those in the control group(P<0.01).Conclusion:The therapy of Duzhong granules combined with calcitonin salmon injection on the basis of routine western therapy has definite curative effect in treating POP with liver and kidney deficiency syndrome,which can effectively improve clinical symptoms and promote bone formation of patients.Reducing the levels of SOST and DKK-1 in serum of patients probably is one of the therapeutic approaches,which is worthy of further discussion.

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王小华.杜仲颗粒与鲑降钙素注射液联合常规疗法治疗原发性骨质疏松症临床观察[J].新中医,2018,50(4):113-116

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  • 在线发布日期: 2018-04-10
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