世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2014年
6期
761-763
,共3页
绝经后女性骨质疏松症%影响因素%证型分布规律
絕經後女性骨質疏鬆癥%影響因素%證型分佈規律
절경후녀성골질소송증%영향인소%증형분포규률
Osteoporosis in postmenopausal women%Influencing factors%Type of syndrome distribution
目的：观察分析绝经后女性骨质疏松症的影响因素并总结中医证型分布规律。方法：选取2010年3月至2013年3月在我科诊治符合入组条件的绝经后骨质疏松症患者238例，随机分为对照组（骨密度正常组），观察组（骨质疏松组）。通过对患者年龄、绝经年龄、绝经年限、身高、体重等资料的收集，进行统计分析。观察组经我科副主任以上职称医师诊断，判定病例各自分属证型，然后进行统计分析。结果：2组病例在年龄、绝经年龄、绝经年限、体重指数方面比较中，差异有统计学意义（P＜0.05）；在证型分布规律可以看出气滞血瘀证和肾精不足证患者所占比重大于脾肾阳虚证及肝肾不足证。结论：患者年龄的增大、绝经年限的增长、体重指数偏低等因素与绝经后骨质疏松症关系密切。中医证型分布依次为气滞血瘀证＞肾精不足证＞脾肾阳虚证＞肝肾不足证。在临床中可适当加入活血化瘀、滋补肾精、温补脾肾阳气、滋补肝肾等中药，值得进一步研究和总结归纳。
目的：觀察分析絕經後女性骨質疏鬆癥的影響因素併總結中醫證型分佈規律。方法：選取2010年3月至2013年3月在我科診治符閤入組條件的絕經後骨質疏鬆癥患者238例，隨機分為對照組（骨密度正常組），觀察組（骨質疏鬆組）。通過對患者年齡、絕經年齡、絕經年限、身高、體重等資料的收集，進行統計分析。觀察組經我科副主任以上職稱醫師診斷，判定病例各自分屬證型，然後進行統計分析。結果：2組病例在年齡、絕經年齡、絕經年限、體重指數方麵比較中，差異有統計學意義（P＜0.05）；在證型分佈規律可以看齣氣滯血瘀證和腎精不足證患者所佔比重大于脾腎暘虛證及肝腎不足證。結論：患者年齡的增大、絕經年限的增長、體重指數偏低等因素與絕經後骨質疏鬆癥關繫密切。中醫證型分佈依次為氣滯血瘀證＞腎精不足證＞脾腎暘虛證＞肝腎不足證。在臨床中可適噹加入活血化瘀、滋補腎精、溫補脾腎暘氣、滋補肝腎等中藥，值得進一步研究和總結歸納。
목적：관찰분석절경후녀성골질소송증적영향인소병총결중의증형분포규률。방법：선취2010년3월지2013년3월재아과진치부합입조조건적절경후골질소송증환자238례，수궤분위대조조（골밀도정상조），관찰조（골질소송조）。통과대환자년령、절경년령、절경년한、신고、체중등자료적수집，진행통계분석。관찰조경아과부주임이상직칭의사진단，판정병례각자분속증형，연후진행통계분석。결과：2조병례재년령、절경년령、절경년한、체중지수방면비교중，차이유통계학의의（P＜0.05）；재증형분포규률가이간출기체혈어증화신정불족증환자소점비중대우비신양허증급간신불족증。결론：환자년령적증대、절경년한적증장、체중지수편저등인소여절경후골질소송증관계밀절。중의증형분포의차위기체혈어증＞신정불족증＞비신양허증＞간신불족증。재림상중가괄당가입활혈화어、자보신정、온보비신양기、자보간신등중약，치득진일보연구화총결귀납。
Objective:To observe and analyze the influential factors of osteoporosis in postmenopausal women and summarize the syn-dromes distribution.Methods:Two hundred and thirty eight patients with osteoporosis in postmenopausal period treated in our hospital from 2010 March to 2013 March who met the inclusion criteria were randomly divided into control group (normal bone mineral density group),and the observation group (osteoporosis group).The patientsage,menopausal age,years since menopause,height,weight and other data were collected and analyzed.Patients in the observation group were diagnosed by doctors above deputy director level to judging their syndrome types,and given statistical analysis.Results:There were statistically significant differences between the two groups in terms of age,menopausal age,menopause years,body mass index (P<0.05 );the syndrome distribution in the order of frequency were the syndrome of qi stagnation and blood stasis,kidney deficiency,Yang deficiency of spleen and kidney,liver and kidney deficiency syn-drome.Conclusion:Factors including increasing age,long menopause years,low body mass index are closely related to postmenopausal osteoporosis.The distribution of TCM syndromes are qi stagnation and blood stasis,kidney essence deficiency,spleen kidney yang defi-ciency syndrome,deficiency of liver and kidney syndrome.In clinical practice,it may be appropriate to add Chinese medicine that can disperse blood stasis,nourish kidney,tonify the spleen and kidney yang,nourish the liver and kidney,which is worth further study,induc-tion and summary.
