| Objective To analyze the clinical effect of dialectical treatment of diabetic osteoporosis with TCM syndrome. Methods 72 cases of diabetic patients with osteoporosis admitted during the period of November 2016 to November 2017 were selected, and according to random number table method all patients were randomly divided into two groups, control group and test group. The two groups of patients had blood lipids, blood pressure and blood glucose under control and received anti-osteoporosis treatment. The control group patients received active vitamin D and calcium treatment, and patients with evident bone pain also received calcitonin treatment. Experimental group patients received the same treatment as patients in the control group and also received treatment on the basis of traditional Chinese medicine, including for spleen deficiency type patient to make up for in yiqi decoction and six gentlemen tonga subtraction treatment, liver and kidney deficiency pills for patients with right or left to add and subtract treatment, and in patients with evident bone pain turmeric, rhizoma corydalis and rhizoma ligustici wallichii were added for treatment. The clinical efficacy in the two groups of patients before treatment and 8 weeks after treatment were tested, and the biochemical indexes related to bone metabolism, bone density and diabetes control indexes in the two groups were recorded. The quality of life scores and prognosis of the two groups of patients were analyzed. Results The total effective rate of the experimental group was 88.89%, significantly higher than that of the control group (75.00%) (χ2=7.398, P < 0.05). There was no significant difference in diabetes control indexes between the two groups before treatment (all P>0.05). After treatment, the diabetes control indexes of the two groups were significantly better than those before treatment (all P < 0.05), but there was no significant difference in diabetes control indexes between the two groups after treatment (all P>0.05). Before treatment, there were no significant differences in BMD and biochemical indexes related to bone metabolism between the two groups (all P > 0.05). After treatment, the BMD of the two groups was significantly better than that before treatment, and the BMD of the experimental group was significantly better than that of the control group (all P < 0.05). After treatment, the biochemical indexes related to bone metabolism in the experimental group were significantly better than those in the control group (all P<0.05). After treatment, the quality of life score of the experimental group was (68.38±15.33), which was significantly better than that of the control group (55.38±14.39) (t=3.849, P<0.05). The primary fracture rate, symptom recurrence rate and secondary fracture rate in the experimental group were 8.33%, 13.89% and 2.78%, respectively, lower than those in the control group of 27.78%, 36.11% and 19.44% (χ2=4.853, χ2=4.938, χ2=5.039, all P<0.05). Conclusion For the patients with diabetic osteoporosis, the combination of traditional western medicine and traditional Chinese medicine could effectively improve the therapeutic effect and prognosis of the patients, and greatly improve the quality of life of the patients. It is worth popularizing in clinical application. |