Volume 22 Issue 7
Jul.  2024
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YANG Jun, FAN Xu. Study on the treatment of primary osteoporosis of liver and kidney deficiency type with Bugan Qiangshen Zhuanggu Formula[J]. Chinese Journal of General Practice, 2024, 22(7): 1188-1191. doi: 10.16766/j.cnki.issn.1674-4152.003596
Citation: YANG Jun, FAN Xu. Study on the treatment of primary osteoporosis of liver and kidney deficiency type with Bugan Qiangshen Zhuanggu Formula[J]. Chinese Journal of General Practice, 2024, 22(7): 1188-1191. doi: 10.16766/j.cnki.issn.1674-4152.003596

Study on the treatment of primary osteoporosis of liver and kidney deficiency type with Bugan Qiangshen Zhuanggu Formula

doi: 10.16766/j.cnki.issn.1674-4152.003596
Funds:

 2023ZL201

  • Received Date: 2024-03-18
    Available Online: 2024-09-05
  •   Objective   To explore the clinical effect of Bugan Qiangshen Zhuanggu Formula in treating primary osteoporosis (liver and kidney deficiency type).   Methods   A total of 130 patients with primary osteoporosis (liver and kidney deficiency type) admitted to Tiantai County People ' s Hospital from April 2020 to October 2023 were studied, and were divided into control group (65 cases) and observation group (65 cases) randomly. The control group were given alendronate sodium tablets and calcium carbonate D3 tablets, while the observation group received additional treatment with Bugan Qiangshen Zhuanggu Formula. The therapeutic effect level of traditional Chinese medicine syndrome in patients were evaluated, the changes in bone density and serum bone metabolism indicators were detected, the differences in VAS score and SF-36 score were compared, and the adverse drug reactions were observed.   Results   The overall effective rate of traditional Chinese medicine syndromes in observation group (93.85%, 61/65) was higher than control group (69.23%, 45/65, P < 0.001). After 12 weeks of treatment, the bone density values of the lumbar spine L2-4, right femoral neck, and left distal radius in the observation group were higher than the control group (P < 0.001). The VAS score of observation group (2.47±0.63) was lower than control group (3.29±0.72, P < 0.001), while the SF-36 score (85.73±6.49) was higher than control group (74.65±6.27, P < 0.001). The levels of serum bone-specific alkaline phosphatase (BALP) and type Ⅰ procollagen amino terminal peptide (P1NP) in observation group was higher than control group, but the levels of serum cross-linked type 1 collagen C-terminal peptide (CTX) and N-telopeptide of type Ⅰ collagen (NTX) were lower than control group (P < 0.001). The incidence of adverse reactions between the two groups was no difference (P>0.05).   Conclusion   Bugan Qiangshen Zhuanggu Formula combined with alendronate sodium and calcium carbonate D3 can effectively improve traditional Chinese medicine symptoms, alleviate pain reactions, and improve quality of life in patients with primary osteoporosis of liver and kidney deficiency type. Its mechanism of action is closely related to enhancing patient bone density and regulating bone metabolism function.

     

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  • [1]
    吕遐, 扶琼. 原发性骨质疏松症的研究进展与最新指南解读[J]. 临床内科杂志, 2020, 37(5): 319-322. https://www.cnki.com.cn/Article/CJFDTOTAL-LCLZ202005001.htm

    LYU X, FU Q. Research progress of primary osteoporosis and interpretation of the latest guidelines[J]. Journal of Clinical Internal Medicine, 2020, 37(5): 319-322. https://www.cnki.com.cn/Article/CJFDTOTAL-LCLZ202005001.htm
    [2]
    翟琳娜, 陈文辉, 李双蕾. 原发性骨质疏松症中医药研究现状分析及应对策略[J]. 中国临床保健杂志, 2023, 26(5): 590-594. doi: 10.3969/J.issn.1672-6790.2023.05.003

    ZHAI L N, CHEN W H, LI S L. Analysis of the current status of traditional Chinese medicine research on primary osteoporosis and corresponding strategies[J]. Chinese Journal of Clinical Healthcare, 2023, 26(5): 590-594. doi: 10.3969/J.issn.1672-6790.2023.05.003
    [3]
    王雨荷, 刘红, 李艳, 等. 中国原发性骨质疏松症危险因素的Meta分析[J]. 中国骨质疏松杂志, 2021, 27(12): 1730-1738. doi: 10.3969/j.issn.1006-7108.2021.12.003

    WANG Y H, LIU H, LI Y, et al. Meta analysis of risk factors for primary osteoporosis in China[J]. Chinese Journal of Osteoporosis, 2021, 27(12): 1730-1738. doi: 10.3969/j.issn.1006-7108.2021.12.003
    [4]
    周剑, 华兴一, 汤健. 骨质疏松性骨折的诊疗与防治[J]. 临床内科杂志, 2020, 37(5): 331-334. https://www.cnki.com.cn/Article/CJFDTOTAL-LCLZ202005006.htm

    ZHOU J, HUA X Y, TANG J. Diagnosis, treatment and prevention of osteoporotic fracture[J]. Journal of Clinical Internal Medicine, 2020, 37(5): 331-334. https://www.cnki.com.cn/Article/CJFDTOTAL-LCLZ202005006.htm
    [5]
    闫晓娜, 高毅, 王舒, 等. 原发性骨质疏松症中医证型分布及其相关研究概述[J]. 山东中医药大学学报, 2023, 47(5): 680-683, 688. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYX202305024.htm

    YAN X N, GAO Y, WANG S, et al. Syndrome type distribution of primary osteoporosis in traditional Chinese medicine and its related research overview[J]. Journal of Shandong University of Traditional Chinese Medicine, 2023, 47(5): 680-683, 688. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYX202305024.htm
    [6]
    张智海, 刘忠厚, 李娜, 等. 中国人骨质疏松症诊断标准专家共识(第三稿·2014版)[J]. 中国骨质疏松杂志, 2014, 20(9): 1007-1010. doi: 10.3969/j.issn.1006-7108.2014.09.001

    ZHANG Z H, LIU Z H, LI N, et al. Expert consensus on diagnostic criteria for osteoporosis in Chinese people (third draft, 2014 edition)[J]. Chinese Journal of Osteoporosis, 2014, 20(9): 1007-1010. doi: 10.3969/j.issn.1006-7108.2014.09.001
    [7]
    郑筱萸. 中药新药临床研究指导原则(试行)[M]. 北京: 中国医药科技出版社, 2002: 357-358.

    ZHENG X Y. Guiding principles for clinical research of new traditional Chinese medicine drugs (trial)[M]. Beijing: China Medical Technology Press, 2002: 357-358.
    [8]
    QASEEM A, HICKS L A, ETXEANDIA-IKOBALTZETA I, et al. Pharmacologic treatment of primary osteoporosis or low bone mass to prevent fractures in adults: a living clinical guideline from the American college of physicians[J]. Ann Intern Med, 2023, 176(2): 224-238. doi: 10.7326/M22-1034
    [9]
    JIANG X H, YAN N, ZHENG Y Q, et al. Risk of primary osteoporosis score (RPOPs): an algorithm model for primary osteoporosis risk assessment in grass-roots hospital[J]. BMC Musculoskelet Disord, 2022, 23(1): 1041. DOI: 10.1186/s12891-022-06014-0.
    [10]
    KIZILCAN ÇETIN S, 瘙塁 IKLAR Z, AYCAN Z, et al. Clinical characteristics and treatment outcomes of children with primary osteoporosis[J]. Turk Arch Pediatr, 2023, 58(3): 314-321 doi: 10.5152/TurkArchPediatr.2023.22248
    [11]
    FUJIMAKA H, TOMIOKA M, KANOSHIMA Y, et al. Accuracy of the Fracture Risk Assessment Tool for judging pharmacotherapy initiation for primary osteoporosis[J]. J Bone Miner Metab, 2022, 40(5): 860-868. doi: 10.1007/s00774-022-01356-0
    [12]
    冯成桢, 李俊伟, 李琰华. 钙剂及维生素D治疗原发性骨质疏松症的有效性与安全性研究进展[J]. 中华全科医学, 2020, 18(4): 642-645. doi: 10.16766/j.cnki.issn.1674-4152.001319

    FENG C Z, LI J W, LI Y H. Progress in the efficacy and safety of calcium and vitamin D in the treatment of primary osteoporosis[J]. Chinese Journal of General Practice, 2020, 18(4): 642-645. doi: 10.16766/j.cnki.issn.1674-4152.001319
    [13]
    吴荣海, 魏锦强, 王慧敏, 等. 唑来膦酸与阿仑膦酸钠治疗原发性骨质疏松疗效及安全性的Meta分析[J]. 中国骨质疏松杂志, 2020, 26(6): 898-905. doi: 10.3969/j.issn.1006-7108.2020.06.023

    WU R H, WEI J Q, WANG H M, et al. Meta-analysis of the efficacy and safety of zoledronic acid and alendronate in the treatment of primary osteoporosis[J]. Chinese Journal of Osteoporosis, 2020, 26(6): 898-905. doi: 10.3969/j.issn.1006-7108.2020.06.023
    [14]
    刘明明, 马勇, 许海燕, 等. 加味六味地黄汤治疗肝肾亏虚型糖尿病性骨质疏松症的临床疗效[J]. 中国中医骨伤科杂志, 2022, 30(3): 12-16, 20. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZG202203003.htm

    LIU M M, MA Y, XU H Y, et al. Clinical efficacy of Jiawei Liuwei Dihuang Decoction combined with alendronate on the treatment of dabetic osteoporosis with liver-kidney depletion pattern[J]. Chinese Journal of Traditional Medical Traumatology & Orthopedics, 2022, 30(3): 12-16, 20. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZG202203003.htm
    [15]
    陈勇喜, 覃海飚, 覃浩然, 等. 补肝强肾壮骨方治疗肝肾亏虚型绝经后骨质疏松症疗效观察[J]. 广西中医药大学学报, 2020, 23(1): 29-31. https://www.cnki.com.cn/Article/CJFDTOTAL-GSZB202001013.htm

    CHEN Y X, QIN H B, QIN H R, et al. Observation on the therapeutic effect of Bu Gan Qiang Shen Zhuang Gu Fang on postmenopausal osteoporosis with liver and kidney deficiency type[J]. Journal of Guangxi University of Chinese Medicine, 2020, 23(1): 29-31. https://www.cnki.com.cn/Article/CJFDTOTAL-GSZB202001013.htm
    [16]
    金昕. 补肝益肾壮骨汤治疗原发性骨质疏松症的临床观察[J]. 中国中医药科技, 2021, 28(5): 777-779. https://www.cnki.com.cn/Article/CJFDTOTAL-TJYY202105031.htm

    JIN X. Clinical observation on the treatment of primary osteoporosis with Bu Gan Yi Shen Zhuang Gu Tang[J]. Chinese Journal of Traditional Medical Science and Technology, 2021, 28(5): 777-779. https://www.cnki.com.cn/Article/CJFDTOTAL-TJYY202105031.htm
    [17]
    申钰, 郑春伟, 薛鸾. 唑来膦酸联合补肾壮骨汤对骨质疏松症患者甲状旁腺素、抗酒石酸酸性磷酸酶及性激素的影响[J]. 中国临床医生杂志, 2022, 50(7): 816-819. doi: 10.3969/j.issn.2095-8552.2022.07.018

    SHEN Y, ZHENG C W, XUE L. Effect of zoledronic acid combined with Bushen Zhuanggu decoction on parathyroid hormone, tartrate-resistant acid phosphatase and sex hormone in patients with osteoporosis[J]. Chinese Journal For Clinicians, 2022, 50(7): 816-819. doi: 10.3969/j.issn.2095-8552.2022.07.018
    [18]
    王杰, 邹德宝, 李琰, 等. 基于网络药理学结合实验验证探究骨碎补防治绝经后骨质疏松症的作用机制[J]. 湖南中医药大学学报, 2022, 42(9): 1476-1484. doi: 10.3969/j.issn.1674-070X.2022.09.010

    WANG J, ZOU D B, LI Y, et al. Mechanism of Gusuibu (Drynariae Rhizoma) in preventing and treating postmenopausal osteoporosis based on network pharmacology combined with experimental verification[J]. Journal of Traditional Chinese Medicine University of Hunan, 2022, 42(9): 1476-1484. doi: 10.3969/j.issn.1674-070X.2022.09.010
    [19]
    康石发, 李茜茜, 李少华, 等. 青娥丸防治绝经后骨质疏松症的血清移行成分的网络药理学机制[J]. 浙江临床医学, 2022, 24(5): 635-639. https://www.cnki.com.cn/Article/CJFDTOTAL-LICX202205002.htm

    KANG S F, LI Q Q, LI S H, et al. The network pharmacological mechanism of serum components of clinical prescription Qingfe pills in the prevention and treatment of postmenopausal osteoporosis[J]. Zhejiang Clinical Medical Journal, 2022, 24(5): 635-639. https://www.cnki.com.cn/Article/CJFDTOTAL-LICX202205002.htm
    [20]
    王振龙, 刘宗超, 付至江, 等. 杜仲提取物改善抑郁小鼠的骨代谢机制研究[J]. 中国临床药理学杂志, 2020, 36(1): 50-53. https://www.cnki.com.cn/Article/CJFDTOTAL-GLYZ202001015.htm

    WANG Z L, LIU Z C, FU Z J, et al. Study on the mechanism of eucommia ulmoides extract improving bone metabolism in depressed mice[J]. The Chinese Journal of Clinical Pharmacology, 2020, 36(1): 50-53. https://www.cnki.com.cn/Article/CJFDTOTAL-GLYZ202001015.htm
    [21]
    王春丽, 潘春柳, 姚李祥, 等. 鸡血藤的化学成分和药理作用研究进展[J]. 现代中药研究与实践, 2021, 35(2): 96-102. https://www.cnki.com.cn/Article/CJFDTOTAL-JZZY202102021.htm

    WANG C L, PAN C L, YAO L X, et al. Research progress on chemical constituents and pharmacological action of spatholobus suberectus dunn[J]. Research and Practice on Chinese Medicines, 2021, 35(2): 96-102. https://www.cnki.com.cn/Article/CJFDTOTAL-JZZY202102021.htm
    [22]
    邓志军, 李阿荣, 罗永佳, 等. 基于网络药理学技术研究鸡血藤治疗疼痛作用机制[J]. 热带医学杂志, 2021, 21(7): 835-840. doi: 10.3969/j.issn.1672-3619.2021.07.006

    DENG Z J, LI A R, LUO Y J, et al. Based on network pharmacology technology to study the mechanism of Ji Xueteng in treating pain[J]. Journal of Tropical Medicine, 2021, 21(7): 835-840. doi: 10.3969/j.issn.1672-3619.2021.07.006
    [23]
    陈庆贤, 刘丽霞, 陈青青, 等. 补肾健脾壮骨方联合唑来膦酸对绝经后骨质疏松症骨代谢及预后的影响探究[J]. 中华中医药学刊, 2022, 40(2): 112-114. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS202202026.htm

    CHEN Q X, LIU L X, CHEN Q Q, et al. Effect of Bushen Jianpi Zhuanggu Formula and zoledronic acid on bone mtabolism and prognosis of postmenopausal osteoporosis[J]. Chinese Archives of Traditional Chinese Medicine, 2022, 40(2): 112-114. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS202202026.htm
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