绝经后妇女骨量丢失过程中中医证候演变规律
A preliminary study on the evolution of TCM syndromes in the process of bone mass loss in postmenopausal women
  
DOI:10.3969/j.issn.1006-7108.2022.01.003
中文关键词:  随访  绝经后妇女  骨量丢失  中医证候演变
英文关键词:follow-up  postmenopausal women  bone mass loss  evolution of TCM syndromes
基金项目:国家自然科学基金(81674007,81173280,81873323)
作者单位
郭澜1 葛继荣2* 叶云金2 谢丽华2 柴昊1 1.福建中医药大学福建 福州 350122 2.福建省中医药科学院福建 福州 350003 
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中文摘要:
      目的 探讨绝经后妇女骨量丢失过程中中医证候演变规律,为临床治疗提供理论依据。方法 选取绝经后妇女,问卷调查、随访收集临床资料,分析其不同随访时间及骨量丢失加重者五脏亏虚证候特征及演变情况。结果 参与随访患者共175例,回收随访问卷194份,随访时间在1年至7年1个月,其中随访时间≤3年和>3年随访患者共有97例。单脏虚证分析:绝经后妇女骨量丢失以肾虚、心虚、肝虚证为主,随访时间≤3年,随访后肝虚证者显著增加,随访时间>3年,随访后心虚、肺虚证者显著增加,骨量丢失加重者中,随访后肝虚、肺虚证者也显著增加,比较差异均有统计学意义。肾虚兼证分析:随访时间>3年,随访后肾+心虚、肾+肺虚、肾+心+肺虚证者显著增加;骨量丢失加重者中,肾+肝虚、肾+心虚、肾+肺虚证者显著增加。结论 绝经后妇女随着增年及骨量丢失的加重,单脏虚证会向多脏虚证演变,临床依次多见肾兼心虚、肾兼肝虚、肾兼肺虚、肾兼心虚和肝虚等复杂证候。
英文摘要:
      Objective To explore the evolution of TCM syndromes in the process of bone mass loss in postmenopausal women, so as to provide theoretical basis for clinical treatment. Methods The clinical data of postmenopausal women were collected with questionnaires and follow-up. The characteristics and evolution of five visceral-organ deficiency syndrome in patients with different follow-up time and the aggravation of bone mass loss were analyzed. Results A total of 175 patients were followed up, and 194 questionnaires were collected, with a follow-up period of 1 year to 7 years and a month. Among those, 97 patients were followed up for less than 3 years and more than 3 years. Analysis of single visceral deficiency syndrome showed that the main types of bone mass loss in postmenopausal women were kidney deficiency, heart deficiency and liver deficiency syndrome. The follow-up time was less than 3 years, the number of patients with liver deficiency syndrome increased significantly after follow-up, and the number of patients with heart deficiency syndrome and lung deficiency syndrome increased significantly during the follow-up. Among the patients with aggravated bone mass loss, the cases of liver deficiency and lung deficiency syndrome also increased significantly during the follow-up, and the difference was statistically significant. Analysis of kidney deficiency and syndrome showed that during the follow-up period of more than 3 years, the number of kidney+heart deficiency, kidney+lung deficiency, and kidney+heart+lung deficiency syndrome increased significantly. Among the patients with aggravated bone mass loss, the cases of kidney+liver deficiency, kidney+heart deficiency, and kidney+lung deficiency syndrome increased significantly. Conclusion With the increase of age and the aggravation of bone mass loss in postmenopausal women, single visceral deficiency may evolve to multiple visceral deficiency syndrome. In a clinical order, many incidence of complex syndromes occurs as kidney and heart deficiency, and follows as kidney and liver deficiency, kidney and lung deficiency, and kidney and heart deficiency and liver deficiency.
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