CAJ | 학술논문

目的：探索中医“治未病”在社区应用于骨质疏松症患者的效果。方法：在社区分别选择骨质疏松高危人群103例，再分成A组52例和B组51例；骨质疏松患者102例，再分成A组和B组各51例。A组在常规西医治疗基础上，根据证型分别用相应的中医法干预，B组为常规治疗组。检测干预前后患者的骨密度和中医证候积分，并进行组间比较。结果：骨质疏松高危人群和骨质疏松患者两组中，A组干预后的骨密度T值均较干预前明显增加（P<0.05），与B组干预后相比差异均有统计学意义（P<0.05）。中医证候积分A组干预后比干预前减少，差异均有统计学意义（P<0.01），与B组干预后比较差异亦均有统计学意义（P<0.01）。结论：中医“治未病”在社区防治骨质疏松症有较好效果，值得推广。
목적：탐색중의“치미병”재사구응용우골질소송증환자적효과。방법：재사구분별선택골질소송고위인군103례，재분성A조52례화B조51례；골질소송환자102례，재분성A조화B조각51례。A조재상규서의치료기출상，근거증형분별용상응적중의법간예，B조위상규치료조。검측간예전후환자적골밀도화중의증후적분，병진행조간비교。결과：골질소송고위인군화골질소송환자량조중，A조간예후적골밀도T치균교간예전명현증가（P<0.05），여B조간예후상비차이균유통계학의의（P<0.05）。중의증후적분A조간예후비간예전감소，차이균유통계학의의（P<0.01），여B조간예후비교차이역균유통계학의의（P<0.01）。결론：중의“치미병”재사구방치골질소송증유교호효과，치득추엄。
Objective:To explore the effect of the application of“treating potential diseases”of the traditional Chinese medicine for the patients with osteoporosis in the community. Methods:One hundred and ifve cases of patients with osteoporosis in high risk were selected and divided into group A with 52 cases and group B with 51 ones, and one hundred and two patients with osteoporosis were divided into groups A and B with 51 cases each. The group A was intervened with the appropriate method of traditional Chinese medicine according to the syndromes based on the conventional Western medicine treatment. The group B received a conventional treatment. The osteoporosis and the scores of the traditional Chinese medical syndrome of the patients were detected and compared before and after intervention between the groups. Results:T values of osteoporosis in two group A increased more obviously after intervention than before intervention (P<0.05), and as compared with the ones in two group B after intervention, the difference had the statistical significance (P<0.05). The scores of the traditional Chinese medical syndrome in two group A reduced after intervention than before intervention, whose difference had the statistical signiifcance (P<0.01), and as compared with the ones in two group B, the difference had the statistical signiifcance (P<0.01). Conclusion:“Treating potential diseases”of the traditional Chinese medicine has the better effect in prevention and treatment of osteoporosis in the community and is worthy of promotion.