[1]石耀武,陶宝琛,张宏蕾.西安地区骨质疏松症的影响因素及中医证型分布[J].医学信息,2020,33(11):136-138.[doi:10.3969/j.issn.1006-1959.2020.11.043]
　SHI Yao-wu,TAO Bao-chen,ZHANG Hong-lei.Influencing Factors of Osteoporosis in Xi’an and Distribution of TCM Syndromes[J].Medical Information,2020,33(11):136-138.[doi:10.3969/j.issn.1006-1959.2020.11.043]
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西安地区骨质疏松症的影响因素及中医证型分布()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年11期
页码:
136-138
栏目:
调查分析
出版日期:
2020-06-01

文章信息/Info

Title:
Influencing Factors of Osteoporosis in Xi’an and Distribution of TCM Syndromes
文章编号:
1006-1959（2020）11-0136-03
作者:
石耀武; 陶宝琛; 张宏蕾
（西安市中医医院骨伤科，陕西 西安 710021）
Author(s):
SHI Yao-wu; TAO Bao-chen; ZHANG Hong-lei
(Department of Orthopedics,Xi’an Traditional Chinese Medicine Hospital,Xi’an710021,Shaanxi,China)
关键词:
骨质疏松症; 影响因素; 中医证型
Keywords:
Osteoporosis; Influencing factors; TCM syndromes
分类号:
R274.9
DOI:
10.3969/j.issn.1006-1959.2020.11.043
文献标志码:
A
摘要:
目的 了解西安地区骨质疏松症的患病现状，分析引起该疾病的影响因素及中医证型分布规律，为该地区骨质疏松的中西医防治工作提供依据。方法 选取2017年6月~2019年6月我院就诊的500例患者作为研究对象，根据双能X线骨密度测定分为骨量正常组、骨量减少组和骨质疏松组，比较三组不同临床特征，并分析骨质疏松组中医证型分布规律。结果 经骨密度测定，骨量正常组146例，骨量减少组228例，骨质疏松组126例。三组性别、年龄、运动量、父母脆性骨折史比较，差异有统计学意义（P＜0.05）；三组BMI、饮酒、饮用浓茶、糖尿病史比较，差异无统计学意义（P＞0.05）。骨质疏松组中医证型分布中肝肾不足41例（33.84%），脾肾两虚40例（33.05%），脾肾两虚兼血瘀45例（37.19%），不同证型间分布比较，差异无统计学意义（P＞0.05）。结论 西安地区骨质疏松症与性别、年龄、运动量、家族史因素相关，临床应根据以上因素给予重点关注；中医证型以肝肾不足、脾肾两虚及脾肾两虚兼血瘀为主，中医防治骨质疏松当以肾为本，调和肝、脾、肾三脏，辅以活血化瘀。
Abstract:
Objective To understand the prevalence of osteoporosis in Xi’an, analyze the influencing factors of the disease and the distribution pattern of TCM syndromes, so as to provide a basis for the prevention and treatment of osteoporosis in this area.Methods 500 patients from June 2017 to June 2019 in our hospital were selected as the research object, according to the dual energy X-ray bone density measurement, it is divided into normal bone mass group, bone mass reduction group and osteoporosis group, compare three groups with different clinical characteristics, and analyze the distribution of TCM syndromes in osteoporosis group.Results According to bone mineral density measurement, 146 patients in the normal bone mass group, 228 patients in the reduced bone mass group, and 126 patients in the osteoporosis group. There was a statistically significant difference between the three groups in terms of gender, age, exercise volume, and parental fragility fracture history (P<0.05); there was no statistically significant difference in the history of BMI, drinking, drinking strong tea, and diabetes among the three groups (P>0.05). In the osteoporosis group, 41 cases (33.84%) had liver and kidney deficiency, 40 cases (33.05%) had both spleen and kidney deficiency, and 45 cases (37.19%) had both spleen and kidney deficiency and blood stasis,the difference was not statistically significant (P>0.05).Conclusion Osteoporosis in Xi’an is related to factors such as gender, age, exercise volume, and family history. Clinical attention should be given to the above factors; TCM syndromes are mainly liver and kidney deficiency, spleen and kidney deficiency, spleen and kidney deficiency and blood stasis. For the prevention and treatment of osteoporosis, Chinese medicine should be based on the kidney, reconcile the three organs of the liver, spleen, and kidney, supplemented by promoting blood circulation and removing blood stasis.

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更新日期/Last Update: 1900-01-01