穴位贴敷对肝肾阴虚型绝经后骨质疏松症患者症状及生活质量的影响
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R259

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2018年国家自然基金项目(81873129);2018年度浙江省中医药重点研究项目(2018ZZ012);2020年国家自然基金项目(82074183); 2020年浙江省中医药现代化专项项目(2020ZX009)


Effect of Point Application on Symptoms and Quality of Life in Patients with Post⁃ menopausal Osteoporosis of Liver-Kidney Yin Deficiency Type
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    摘要:

    目的:观察穴位贴敷对肝肾阴虚型绝经后骨质疏松症(PMOP) 患者症状及生活质量的影响。方法:选取104 例肝肾阴虚型PMOP 的患者,按随机数字表法分为穴位贴敷组及常规治疗组各52 例。穴位贴敷组有2 例失访,实际纳入50 例;常规治疗组1 例因个人原因退出试验,实际纳入51 例。常规治疗组给予盖三淳与钙尔奇D300 联合治疗,穴位贴敷组在常规治疗组基础上给予中药穴位贴敷。比较2 组治疗6 个月骨密度(BMD) 值、中医症状评分,生活质量量表(SF-36) 评分、功能障碍指数评分(ODI) 的变化。结果:治疗后,2 组BMD 水平均较治疗前上升(P<0.05),常规治疗组BMD 水平高于穴位贴敷组,差异无统计学意义(P>0.05)。治疗后,穴位贴敷组腰背疼痛、腰膝酸软及步履困难中医症状评分均较治疗前下降(P<0.05)。常规治疗组腰膝酸软及步履艰难评分均较治疗前下降(P<0.05)。穴位贴敷组腰背疼痛及步履艰难评分均低于常规治疗组,差异均有统计学意义(P<0.05)。治疗后,2 组SF-36 评分均较治疗前上升,穴位贴敷组与治疗前相比,差异有统计学意义(P<0.05);2 组ODI 评分均较治疗前下降(P<0.05);治疗后,穴位贴敷组SF-36 评分高于常规治疗组,ODI 评分低于常规治疗组,差异均有统计学意义(P<0.05)。结论:穴位贴敷对肝肾阴虚型PMOP 患者的临床症状有缓解作用,可缓解腰背部的疼痛感,改善其功能障碍,提高老年患者生活质量。

    Abstract:

    Abstract:Objective:To observe the effect of acupoint application on symptoms and quality of life in patients with postmenopausal osteoporosis(PMOP) of the liver- kidney yin deficiency type. Methods: A total of 104 cases of PMOP patients of the liver-kidney yin deficiency type were selected and divided into the acupoint application group and the routine treatment group according to the random number table method,with 52 cases in each group. Two cases dropped out from the acupoint application group,and 50 cases were actually included; one case in the routine treatment group withdrew from the trial for personal reasons, and 51 cases were actually included. The routine treatment group was treated with calcitriol and Caltrate D, and the acupoint application group was additionally treated with acupoint application with Chinese medicine. The changes of bone mineral density(BMD), traditional Chinese medicine symptom scores,Quality of Life Scale(SF-36) scores and Oswestry Disability Index(ODI) scores were compared between the two groups after six months of treatment. Results:After treatment,BMD levels in the two groups were increased when compared with those before treatment(P<0.05), and the BMD level in the routine treatment group was higher than that in the acupoint application group, there being no statistically significance in the difference(P>0.05). After treatment,Chinese medicine symptom scores of pain in the waist and back, soreness and weakness of the waist and knees and difficulty in walking in the acupoint application group were decreased when compared with those before treatment(P< 0.05). The scores of soreness and weakness of the waist and knees and difficulty in walking in the routine treatment group were decreased when compared with those before treatment(P<0.05). The scores of pain in the waist and back and difficulty in walking in the acupoint application group were lower than those in the routine treatment group, the difference being statistically significant(P<0.05). After treatment, SF- 36 scores in the two groups were increased when compared with those before treatment, and the comparison of the SF- 36 scores in the acupoint application group before and after treatment showed significance in the difference(P<0.05);ODI scores in the two groups were decreased when compared with those before treatment(P<0.05). After treatment,scores of SF-36 in the acupoint application group were higher than that in the routine treatment group,and ODI score was lower,the differences being significant (P<0.05). Conclusion:For PMOP patients of the liver-kidney yin deficiency type,acupoint application can relieve their clinical symptoms and pain sensation in the waist and back, improve dysfunction, and enhance the quality of life of senile patients.

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李少华,何才剑,陈天鹏,房谋昊,康石发,孙坚钢,史晓林.穴位贴敷对肝肾阴虚型绝经后骨质疏松症患者症状及生活质量的影响[J].新中医,2022,54(21):198-202

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  • 在线发布日期: 2022-11-15
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