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| 整体调节针法治疗原发性骨质疏松症的临床研究 |
| Clinical study of the treatment of primary osteoporosis with overall regulation of acupuncture |
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| DOI：10.3969/j.issn.1006.7108.2016.11.020 |
| 中文关键词: 中医中药 原发性骨质疏松症 针灸 临床研究 |
| 英文关键词:Chinese medicine Acupuncture Primary osteoporosis Clinical research |
| 基金项目:国家自然科学基金（81102658） |
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| 中文摘要: |
| 目的 观察整体调节针法防治原发性骨质疏松症的临床疗效。方法 将72例观察对象随机分成针刺组和药物组各36 例。针刺组依次进行温针灸、七星针、走罐、留罐治疗；每周2次，3个月为一个疗程。药物组予肌肉注射降钙素50IU/次，每周2次,3个月为一个疗程。一个疗程结束后，通过骨密度检测、疼痛评分、中医临床症候评分、生存质量评分等综合进行临床疗效评价。结果 治疗前后两组的BMD、VAS、症候积分、生存量表积分组内对比，针剌组和药物组差异均有统计学意义；治疗后两组 BMD、VAS评分组间比较，P>0.05,差异无统计学意义。治疗后两组症候积分、生存量表积分组间比较,P <0. 05,差异有统计学意义。治疗后生存质量提髙、中医症状临床疗效针刺组均髙于药物组，差异有统计学意义。骨质疏松症疗效总有效率针刺组低于药物组,差异无统计学意义。治疗过程中，两组均未出现明显的不良反应。结论 整体调节针法能够提高原发性骨质疏松症 患者的BMD，能减轻症状，改善其生存质量，具有较好的临床疗效，具有较好的安全性，值得在临床推广应用。 |
| 英文摘要: |
| Objective To observe the clinical curative effect of the overall regulation of acupuncture treatment on primary osteoporosis. Methods 72 patients were randomly divided into acupuncture group (36 cases) and drug group (36 cases). The patients in acupuncture group received warm acupuncture method, seven-needle method, cupping method, and retaining cupping method consecutively. The course of the treatment continued 2 times a week for 3 months. The patients in drug group received intramuscular calcitonin 50IU/times, 2 times a week for 3 months. After the treatment, bone mineral density (BMD)，quality of life scale score, pain score (VAS)，and TCM clinical symptom scores were evaluated comprehensively. Results There were difference of BMD, VAS, TCM clinical symptom scores, and quality of life scale score between the two groups before and after the treatment. BMD and VAS were not statistically different between the two groups after the treatment (P > 0. 05). TCM clinical symptom scores and quality of life scale score of patients were different between the two groups after the treatment (P < 0. 05). After the treatment, quality of life increased and TCM clinical symptom relieved more in acupuncture group than in drug group, with statistical difference. The curative efficacy of osteoporosis was lower in acupuncture group than in drug group, with no statistical difference. During the treatment, there were no obvious adverse reactions in both groups. Conclusion The overall regulation of acupuncture improves BMD of patients with primary osteoporosis, reduces clinical symptoms, and improves the quality of life. It has good clinical efficacy，security，and is worth in clinical application. |
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