摘要
目的探讨热敏灸联合针灸及电针治疗原发性骨质疏松症患者的效果。方法回顾性分析兴国县中医院2020年6月—2022年6月收治的70例原发性骨质疏松症患者,根据治疗方案的不同分为常规组、研究组。常规组34例予西医常规治疗方案(骨化三醇软胶囊+骨肽注射液),研究组36例在常规组基础上予热敏灸联合针灸及电针治疗。3个月后观察两组骨转换状态指标、中医证候积分及临床疗效。结果治疗后,研究组尿吡啶啉(PYR)、Ⅰ型胶原N末端肽(NTX)、骨钙素(BGP)水平均低于常规组,而骨保护素(OPG)水平高于常规组(P<0.05);研究组疼痛、肢体倦怠、筋肉挛缩积分均低于常规组(P<0.05)。研究组治疗总有效率为97.22%(35/36),高于常规组的79.41%(27/34)(P<0.05)。结论采用热敏灸联合针灸及电针治疗,可有效改善原发性骨质疏松症患者的骨转换状态,对降低其中医证候积分有重要意义,临床效果较好,可作为该病的优选治疗方案。
Objective To investigate the therapeutic effect of heat-sensitive moxibustion combined with acupuncture and electroacupuncture on patients with primary osteoporosis.Methods A total of 70 patients with primary osteoporosis admitted to Xingguo Hospital of Traditional Chinese Medicine from June 2020 to June 2022 were retrospectively analyzed and grouped according to different treatment regimens.A total of 34 patients receiving conventional Western medicine treatment(calcitriol soft capsule and bone peptide injection)were classified into the conventional group.A total of 36 patients treated with heat-sensitive moxibustion combined with acupuncture and electroacupuncture on the basis of conventional Western medicine were included in the study group.After 3 months of treatment,the indicators of bone transition status were compared between the two groups,the scores of TCM syndrome were compared,and the efficacy was analyzed.Results After treatment,the levels of pyridinoline(PYR),N-terminal peptide(NTX)and osteocalcin(BGP)in the study group were lower than those in the conventional group,while the levels of osteopalcin(OPG)were higher than those in the conventional group(P<0.05).The scores of pain,limb fatigue and muscle contracture in the study group were lower than those in the conventional group(P<0.05).The total effective rate of the study group was 97.22%(35/36),which was higher than that of the conventional group(79.41%,27/34)(P<0.05).Conclusion The heat-sensitive moxibustion combined with acupuncture and electroacupuncture can effectively improve the bone transition status of patients with primary osteoporosis,and is of great significance for the reduction of TCM syndrome scores.Its clinical efficacy is high,and it can be used as the preferred treatment of this disease.
作者
万满华
赖华平
曾森炎
WAN Manhua;LAI Huaping;ZENG Senyan(Department of Orthopedics,Xingguo Hospital of Traditional Chinese Medicine,Jiangxi Province,Xingguo 342400,China)
出处
《中国中医药现代远程教育》
2024年第23期128-130,共3页
Chinese Medicine Modern Distance Education of China
关键词
骨痿
原发性骨质疏松症
热敏灸疗法
电针疗法
针灸疗法
中医综合疗法
atrophic debility of bones
primary osteoporosis
heat-sensitive moxibustion
electroacupuncture
acupuncture therapy
comprehensive therapy of traditional Chinese medicine
