摘要
目的:研究骨质疏松症的中医辨证分型特点,为骨质疏松症的中医诊断、治疗和研究提供科学的依据与参考。方法:用LUNAR公司生产的DPX-MD+双能X线骨密度仪对贵阳地区2008年～2010年1000例年龄为20～79岁的人群进行BMD测定,测定部位包括腰椎1至腰椎4椎体、右股骨近端,以峰值BMD减低2.0SD为诊断骨质疏松症标准,对其中有骨质疏松的人群(198例)进行中医辨证分型,并分析各型所占比例。结果:骨质疏松症中医证型特点有一定规律。各证型发生概率依次是:肾虚、脾肾两虚、肝肾阴虚、瘀血阻络。结论:骨质疏松症以虚证居多,尤其是肾虚为主,治疗应以补肾为主,并结合中医辨证施治。
Objective：To study the characteristics of differentiation of osteoporosis by traditional Chinese medicine,provide a scientific basis and reference for the diagnosis,treatment and research of osteoporosis by traditional Chinese medicine.Methods： Bone mineral density was measured by DPX-MD ＋ Dual-energy X-ray absorptiometry produced by the LUNAR Corporatio in 1000 patients aged 20-79 years old in Guiyang from 2008 to 2011.The lumbar vertebral body from1 to 4 and proximal femur were the measurement sites.The diagnostic criterion of osteoporosis was the peak of BMD less than 2.0 SD.Differentiation of osteoporosis was taken in 198 patients;and the proportion of differentiation of osteoporosis were analysised.Results： There were certain rules in characteristics of Chinese medicine dialectical classification of osteoporosis.Probabilities of occurrence of the syndrome were kidney insufficiency,spleen and kidney deficiency,liver and kidney deficiency,stasis of congestion.Conclusions： Deficiency pattern was the majority of Chinese dialectical classification of osteoporosis,kidney insufficiency was the most common deficiency pattern;treatment should be based on kidney mainly,and combined with traditional Chinese medicine dialectical classification.
出处
《中国中医骨伤科杂志》
CAS
2012年第1期23-25,共3页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
上海市科学技术委员会2008年上海市参与西部开发科技合作项目资助(08495802000)
关键词
骨质疏松
骨痿
中医辩证分型
Osteoporosis
Bone atrophy
Chinese dialectical classification
