摘要
目的观察雷火灸配合药物治疗原发性骨质疏松症的临床疗效。方法将80例原发性骨质疏松症患者随机分为治疗组和对照组,每组40例。治疗组采用雷火灸配合药物治疗,对照组采用单纯药物治疗。观察两组治疗前后L2-4腰椎和左股骨颈的骨密度(BMD)值、视觉模拟量表(VAS)评分、骨质疏松各项症状评分及血清白介素-6(IL-6)、胰岛素样生长因子-1(IGF-1)水平的变化情况。结果两组治疗后L2-4腰椎和左股骨颈BMD值、VAS评分、骨质疏松症状评分总分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后L2-4腰椎和左股骨颈BMD值、VAS评分、骨质疏松症状评分总分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组治疗后血清IL-6、IGF-1水平与同组治疗前及对照组比较,差异均具有统计学意义(P<0.05)。结论雷火灸配合药物是一种治疗原发性骨质疏松症的有效方法,能提升患者的骨密度值,缓解骨性疼痛,改善骨质疏松症状,这可能与其改善患者血清IL-6、IGF-1水平有关。
Objective To investigate the clinical efficacy of thunder-fire moxibustion plus medication for primary osteoporosis.Method Eighty patients with primary osteoporosis were randomized to treatment and control groups,with 40 cases in each group.The treatment group received thunder-fire moxibustion plus medication and the control group,medication alone.The bone mineral density of 2ed to 4th lumbral vertebrae(L2-4)and left femoral neck was determined,the Visual Analogue Scale(VAS)score and the osteoporosis symptom item scores were recorded and serum interleukin-6(IL-6)and insulin-like growth factor-1(IGF-1)levels were measured in the two groups before and after treatment.Result There were statistically significant pre-/post-treatment differences in the bone mineral density of L2-4 and left femoral neck,the VAS score and the osteoporosis symptom item scores in the two groups(P<0.05).There were statistically significant post-treatment differences in the bone mineral density of L2-4 and left femoral neck,the VAS score and the osteoporosis symptom item scores between the treatment and control groups(P<0.05).After treatment,serum IL-6 and IGF-1 levels had statistically significant differences in the treatment group compared with before and with the control group(P<0.05).Conclusion Thunder-fire moxibustion plus medication is an effective way to treat primary osteoporosis.It can increase bone mineral density,alleviate bone pain and relieve osteoporotic symptoms in the patients.
作者
张勇
吴厚新
何正兵
ZHANG Yong;WU Hou-xin;HE Zheng-bing(Hubei Gongan County Hospital of Traditional Chinese Medicine,Gongan 434300,China)
出处
《上海针灸杂志》
2020年第7期909-913,共5页
Shanghai Journal of Acupuncture and Moxibustion
