CAJ | 학술논문

目的：探讨骨质疏松症患者肾虚量化评分与性激素水平、血瘀量化评分与血细胞参数间的关系，从微观水平探讨骨质疏松症肾虚血瘀量化方法的客观可靠性。方法选择2014年1月至2014年6月我院脊柱骨科确诊为骨质疏松症肾虚血瘀型女患者42例，参照李东涛等人“骨质疏松症中医基本证候定性诊断规范”、“骨质疏松症中医症状量化方法”对每位患者辨证分型并量化评分。检测骨密度（BMD）、血细胞参数（MCV、RDW-cv、MPV、PDW）、雌二醇（E2）水平。对患者肾虚量化评分和E2，血瘀证量化评分与MCV、RDW-cv、MPV、PDW进行Pearson相关分析。结果肾虚量化评分与E2水平呈显著负相关（ r＝－0.380，P＝0.013）；血瘀量化评分与MCV、MPV水平呈显著正相关（r＝0.399，P＝0.009；r＝0.364，P＝0.019），与RDW-CV、PDW相关性不明显（r＝0.122，P＝0.443；r＝0.299，P＝0.057）。结论我们从微观水平上证实了骨质疏松症常见定性证候轻重程度量化评价模型能够较客观真实地反映患者肾虚血瘀程度。我们认为，骨质疏松症常见定性证候轻重程度量化评价模型操作简单，实用性较强，不但有助于临床医师简捷、准确地诊断骨质疏松症患者肾虚血瘀证型，同时还能为辨证论治时合理配伍补肾活血中药提供一定的参考，临床值得推广应用。
목적：탐토골질소송증환자신허양화평분여성격소수평、혈어양화평분여혈세포삼수간적관계，종미관수평탐토골질소송증신허혈어양화방법적객관가고성。방법선택2014년1월지2014년6월아원척주골과학진위골질소송증신허혈어형녀환자42례，삼조리동도등인“골질소송증중의기본증후정성진단규범”、“골질소송증중의증상양화방법”대매위환자변증분형병양화평분。검측골밀도（BMD）、혈세포삼수（MCV、RDW-cv、MPV、PDW）、자이순（E2）수평。대환자신허양화평분화E2，혈어증양화평분여MCV、RDW-cv、MPV、PDW진행Pearson상관분석。결과신허양화평분여E2수평정현저부상관（ r＝－0.380，P＝0.013）；혈어양화평분여MCV、MPV수평정현저정상관（r＝0.399，P＝0.009；r＝0.364，P＝0.019），여RDW-CV、PDW상관성불명현（r＝0.122，P＝0.443；r＝0.299，P＝0.057）。결론아문종미관수평상증실료골질소송증상견정성증후경중정도양화평개모형능구교객관진실지반영환자신허혈어정도。아문인위，골질소송증상견정성증후경중정도양화평개모형조작간단，실용성교강，불단유조우림상의사간첩、준학지진단골질소송증환자신허혈어증형，동시환능위변증론치시합리배오보신활혈중약제공일정적삼고，림상치득추엄응용。
Objective To explore the relationship among quantitative evaluation of kidney deficiency and blood stasis, sexual hormones, and parameters of blood cells in female patients with primary osteoporosis, in order to explore the reliability of quantitative evaluation of kidney deficiency and blood stasis at the micro-level.Methods Forty-two female patients with osteoporosis and kidney deficiency and blood stasis in our department from January to June 2014 were selected.They were classified and scored according to“Quantitative evaluation of the degree of traditional Chinese medicine qualitative syndromes of osteoporosis”by Li Dongtao.Bone mineral density (BMD), blood cell parameters (MCV, RDW-cv, MPV, and PDW), and estradiol (E2) were examined.Pearson correlation analysis was used to evaluate the relationship among quantitative evaluation of kidney deficiency and blood stasis, sexual hormones, and parameters of blood cells.Results The results showed that E2 had significant negative linear correlation with the results of quantitative evaluation of kidney deficiency (r=-0.380, P=0.013).MCV and MPV had positive linear correlation with the results of blood stasis (r=0.399, P=0.009;r=0.364, P=0.019).RDW-cv and PDW had no significant linear correlation with the results of blood stasis (r =0.122, P=0.443; r =0.299, P=0.057).Conclusion We confirm that the quantitative evaluation model reflects objectively the degree of kidney deficiency and blood stasis in osteoporosis patients.In our opinion, the method is easy to perform and very useful in diagnose of osteoporosis with the traditional Chinese medicine syndrome type, which may be beneficial to make a better combination of herbs for the kidney nourishing and blood activating.