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滋肾扶阳健骨方对围绝经期骨质疏松症(肾阴阳虚型)疗效观察

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目的:探讨滋肾扶阳健骨方治疗围绝经期骨质疏松症(肾阴阳虚型)患者的临床效果.方法:选取 2020年 6 月~2022 年 6 月本院收治的 92 例围绝经期骨质疏松患者,将其随机分为观察组(n=46)和对照组(n=46).对照组行西药常规碳酸钙D3 片治疗,观察组在其基础上予以滋肾扶阳健骨方治疗.连续治疗 3 个月后,比较两组疗效;比较两组中医症候积分、骨密度、骨代谢变化;比较两组用药安全性.结果:连续治疗 3 个月后,观察组治疗总有效率为 97.83%,高于对照组的 86.96%(P<0.05);治疗后两组中医症候积分、Ⅰ型胶原C端肽及抗酒石酸酸性磷酸酶5b水平较治疗前均有降低,且观察组低于对照组(P<0.05),两组L1-L4腰椎骨密度、左侧股骨颈骨密度及骨特异性碱性磷酸酶水平较治疗前均有提升,且观察组高于对照组(P<0.05);两组间药物不良反应率差异无统计学意义(P>0.05).结论:滋肾扶阳健骨方治疗围绝经期骨质疏松症(肾阴阳虚型)能有效提升实际治疗效果,缓解患者典型症状,同时改善机体骨代谢水平,增加骨密度,且不会增加用药风险,安全性较高.
Observation on the therapeutic effect of the nourishing kidney,nourishing yang,and strengthening bone formula on patients with perimenopausal osteoporosis(kidney yin yang deficiency type)
Objective:To explore the clinical effect of the Zishen Fuyang Jiangu formula in the treatment of perimenopausal osteoporosis(kidney yin yang deficiency type)patients.Method:92 patients with perimenopausal osteoporosis admitted to our hospital from June 2020 to June 2022 were randomly divided into an observation group(n=46)and a control group(n=46).The control group was treated with conventional Western medicine calcium carbonate D3 tablets,while the observation group was trea-ted with nourishing kidney,nourishing yang,and strengthening bone formula on the basis of it.After continuous treatment for 3 months,compare the efficacy of the two groups;Compare the TCM syndrome scores,bone density,and changes in bone metabo-lism between two groups;Compare the safety of medication between two groups.Result:After continuous treatment for 3 months,the total effective rate of the observation group was 97.83%,which was higher than the control group's 86.96%(P<0.05);Af-ter treatment,the TCM syndrome score,C-terminal peptide of type Ⅰ collagen,and anti tartaric acid phosphatase 5b levels in both groups decreased compared to before treatment,and the observation group was lower than the control group(P<0.05).The bone density of the L1-L4 lumbar spine,left femoral neck,and bone specific alkaline phosphatase levels in both groups increased compared to before treatment,and the observation group was higher than the control group(P<0.05);There was no statistically significant difference in the incidence of adverse drug reactions between the two groups(P>0.05).Conclusion:The Zishen Fuy-ang Jiangu Formula can effectively improve the actual treatment effect of perimenopausal osteoporosis(Kidney Yin Yang Deficien-cy Type),alleviate typical symptoms of patients,improve bone metabolism levels,increase bone density,and does not increase medication risk,with high safety.

Nourishing Kidney,Fuyang,and Strengthening Bones FormulaPerimenopausal periodOsteoporosisKidney Yin Yang deficiency typeBone metabolism

安长学、刘洪全、袁长勇

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攀枝花学院附属医院骨科手外科,四川 攀枝花 617000

滋肾扶阳健骨方 围绝经期 骨质疏松症 肾阴阳虚型 骨代谢

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(9)
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