糖尿病合并骨质疏松的中医研究进展
Research progress of diabetes mellitus and osteoporosis in traditional Chinese medicine
  
DOI:10.3969/j.issn.1006-7108.2023.01.024
中文关键词:  中医中药  糖尿病  骨质疏松症
英文关键词:traditional Chinese medicine  diabetes  osteoporosis
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作者单位
柳飞扬1 吴坚2* 1.上海中医药大学上海 201203 2.上海中医药大学附属上海市中西医结合医院上海 200082 
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中文摘要:
      随着全球老龄化进程,糖尿病合并骨质疏松在慢性疾病中发病率显著升高,其最常见的并发症之一骨折严重降低患者生活质量。现代医学治疗具有经济负担重、缺少前瞻性研究的缺点,而中医药治疗具有不良反应小、依从性高及价格适中等优点,具有临床多途径、多靶点治疗糖尿病合并骨质疏松的独特优势。近年来中医药有关其研究越来越多,在治疗上注重滋补肝肾,重视补阴药及活血药的运用,许多研究者结合现代医学的检验、检查指标证明了中药的疗效,而从单味药、药对或是复方着手的许多实验研究又证明其疗效通路机制,除此之外,针灸推拿等中医特色治疗也有改善糖代谢及骨代谢的作用。笔者从糖尿病合并骨质疏松的病因病机、辩证分析、治法、实验研究、临床研究及中医特色疗法等方面进行综合论述,深入认识糖尿病合并骨质疏松,能为其治疗提供一定的理论依据及临床参考。
英文摘要:
      Following the global aging process, the incidence of diabetes mellitus and osteoporosis in the chronic diseases increased significantly. Fracture, one of the most common complications, seriously reduces the life quality of the patients. Modern medical treatment has the disadvantages of heavy economic burden and lack of prospective research, while TCM treatment has the advantages of slight side effects, high compliance, and moderate price, which has the unique preponderance of clinical multi-way and multi-target in the treatment of diabetes mellitus and osteoporosis. In recent years, more and more related researches have published. Many TCM doctors pay attention to nourishing liver and kidney in the treatment, and emphasize on the application of medicine of nourishing Yin and activating blood circulation. Many researchers combine modern medical inspection and inspection index to prove the curative effect of Chinese medicine. Many experiments of simple recipe, couplet medicines or compound recipe also prove their effectiveness pathways and mechanism. In addition, characteristic TCM therapy, such as acupuncture and moxibustion, also improves glucose metabolism and bone metabolism. This article has discussed comprehensively the etiology, dialectical analysis, treatment, experimental research, clinical research, and TCM characteristic therapy of diabetes mellitus and osteoporosis. The in-depth understanding of diabetes mellitus and osteoporosis provides certain theoretical basis and clinical reference for its treatment.
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