Clinical observation of using integrative medicine to treat osteoporosis of urban white collar
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摘要: 目的 对中西医结合治疗都市白领骨质疏松症的临床疗效及安全性进行探讨。 方法 选取2014年1月—2015年1月东阳市人民医院收治的112例骨质疏松患者,将其按照随机数字法分为观察组和对照组,每组56例,对照组采用常规西医(阿伦磷酸钠片)治疗,观察组在对照组基础上结合中药补肾健骨汤治疗,2组患者均治疗3个月后评价疗效。 结果 治疗3个月后观察组总有效率为96.4%,显著高于对照组的76.8%(χ2=9.314,P<0.05)。治疗3个月2组中医症状总积分均较治疗前显著下降(均P<0.05),但观察组下降更为明显(P<0.05)。治疗3个月2组腰椎L2~4骨密度均较治疗前显著上升(均P<0.05),但观察组上升更为明显(P<0.05)。治疗3个月2组骨转换生化标志物均较治疗前显著下降(均P<0.05),但观察组下降更为明显(P<0.05)。2组患者治疗期间肝、肾功能均在正常范围内,2组不良反应主要为胃肠道反应,对症处理后均可耐受,未出现停药现象。 结论 阿伦磷酸钠片联合补肾健骨汤治疗骨质疏松症临床疗效好,安全性高,值得临床推广。Abstract: Objective To discuss the curative effects and clinical safety of using integrative medicine to treat osteoporosis of urban white collar. Methods From January 2014 to January 2015,112 cases of patients with osteoporosis in our hospital were chosen and divided into the observation group and the control group using random number methods (56 cases in each group).The control group were treated with conventional western medicine(Allen sodium phosphate tablets),while the observation group had Bushen Jiangu soup on basis of the control group treatment.Both groups of patients had 3 months of treatment. Results Three months after treatment the total effective rate in the observation group was 96.4%,significantly higher than that in the control group 76.8%(χ2=9.314,P<0.05).Three months after treatment traditional Chinese medicine symptoms of the two groups had significant reductions in the total integral (all P<0.05),but the observation group decreased more obviously(P<0.05).Treatment for 3 months,the lumbar spine bone mineral density of the two groups significant increased in the L2~4(all P<0.05),but the observation group increased more obviously(P<0.05).Treatment for 3 months bone turnover biochemical markers in the two groups had significant reduction(both P<0.05),but the observation group decreased more obviously(P<0.05).During treatment liver and kidney functions in both groups were within the normal range,and adverse reactions in the two groups were mainly gastrointestinal reaction,which could be tolerated and all patients had no drug withdrawal. Conclusion Using allen sodium phosphate tablets combined with Jianpi zhuanggu soup to treat osteoporosis has better clinical curative effects and higher clinical safety,worthy of clinical promotion.
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Key words:
- Osteoporosis /
- Alendronate sodium tablets /
- Jianpi zhuanggu soup
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