本文關(guān)鍵詞：電針治療肝腎不足型絕經(jīng)后骨質(zhì)疏松癥的臨床觀察　出處：《福建中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 電針 絕經(jīng)后 骨質(zhì)疏松 臨床觀察

【摘要】：目的：觀察電針治療肝腎不足型絕經(jīng)后骨質(zhì)疏松癥的臨床療效,探尋更加有效的防治肝腎不足型絕經(jīng)后骨質(zhì)疏松的方法。方法：選擇符合納入標(biāo)準(zhǔn)及排除標(biāo)準(zhǔn)的肝腎不足型絕經(jīng)后骨質(zhì)疏松癥患者66例,按其就診順序隨機分為治療組(電針組)與對照組(口服藥物組)各33例。治療組：取穴大杼(雙側(cè))、腎俞(雙側(cè))、足三里(雙側(cè)),同側(cè)大杼和腎俞各接一組輸出導(dǎo)線,兩側(cè)足三里接一組輸出導(dǎo)線,采用2Hz疏密波,隔天1次,每次30分鐘,三個月為一療程,連續(xù)治療2個療程。對照組：給予口服碳酸鈣D3片(鈣爾奇)治療,每次1片,早晚各1次,連續(xù)服用6個月。治療前后對患者相應(yīng)臨床癥狀進(jìn)行評分及骨密度的測定,觀察兩組患者臨床癥狀改善的效果及骨密度變化情況,通過SPSS18.0統(tǒng)計軟件對收集整理后的資料進(jìn)行統(tǒng)計分析和比較。結(jié)果：(1)治療結(jié)束時,電針組與藥物組治療肝腎不足型絕經(jīng)后骨質(zhì)疏松的總有效率分別為86.67%和80.64%,兩組有效率比較差異有統(tǒng)計學(xué)意義(P0.05),且在愈顯率方面,電針組明顯高于藥物組。(2)兩組患者的臨床癥狀評分均出現(xiàn)不同程度下降,其中尤以電針組下降更為明顯(P0.05),在對腰背疼痛、腰膝酸軟癥狀的改善上,電針組要優(yōu)于藥物組。(3)治療結(jié)束后,電針組和藥物組治療后骨密度與治療前相比,骨密度均值均有不同程度的增加,提示總體骨量未下降,有增加的趨勢,但差異無統(tǒng)計學(xué)意義(P0.05)。兩組治療后左股骨Neck和腰椎骨密度與治療前相比,均無顯著性差異(P0.05).。且各組骨密度平均值增加幅度較低,尚未達(dá)到正常骨密度水平。結(jié)論：電針治療肝腎不足型絕經(jīng)后骨質(zhì)疏松癥有一定的療效,能有效改善患者的臨床癥狀,延緩了骨量減少的的進(jìn)程,具有補腎強筋健骨的作用,可作為防治絕經(jīng)后骨質(zhì)疏松癥(肝腎不足型)的有效方法之一。
[Abstract]:Objective: to observe the clinical effect of electroacupuncture on postmenopausal osteoporosis with liver and kidney deficiency. Methods: 66 cases of postmenopausal osteoporosis with liver and kidney deficiency were selected according to the inclusion criteria and exclusion criteria. According to the order of their visits, they were randomly divided into treatment group (electroacupuncture group) and control group (oral drug group), 33 cases in each group. The same side of Dazhu and Shenshu each received a group of output conductors, and two sides of Zusanli followed by a group of output conductors, using 2Hz dense wave, once every other day, 30 minutes each time, three months as a course of treatment. The control group was treated with oral calcium carbonate D3 tablets, one tablet each time, one time in the morning and evening. The clinical symptoms and bone mineral density (BMD) were measured before and after treatment for 6 months. The improvement of clinical symptoms and the changes of BMD were observed in the two groups. SPSS18.0 statistical software was used to analyze and compare the collected data. Results: 1) at the end of treatment. The total effective rates of electroacupuncture group and drug group in treating postmenopausal osteoporosis with liver and kidney deficiency were 86.67% and 80.64, respectively. The difference between the two groups was statistically significant (P 0.05). In addition, the clinical symptom scores of the patients in the electroacupuncture group were significantly higher than those in the drug group and the two groups, especially in the electroacupuncture group, especially in the electroacupuncture group (P 0.05). In the improvement of back pain and pain of waist and knee, electroacupuncture group was better than drug group after treatment. After treatment, BMD of electroacupuncture group and drug group were compared with that before treatment. The mean value of bone mineral density (BMD) increased to some extent, indicating that the total bone mass did not decrease, and had an increasing trend. But the difference was not statistically significant (P 0.05). The bone mineral density of left femur and lumbar vertebrae in the two groups after treatment was higher than that before treatment. There was no significant difference in bone mineral density (BMD) of all groups (P 0.05) and the increase of BMD in each group was lower than that in control group (P < 0.05). Conclusion: electroacupuncture is effective in treating postmenopausal osteoporosis with liver and kidney deficiency, which can effectively improve the clinical symptoms and delay the process of bone loss. It can be used as an effective method to prevent and treat postmenopausal osteoporosis.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.1

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 吳健梅;;中西醫(yī)結(jié)合治療中心性漿液性脈絡(luò)膜視網(wǎng)膜病變肝腎不足型46例[J];中醫(yī)研究;2008年11期

2 欒相佳;張雋;;中西醫(yī)結(jié)合治療肝腎不足型非滲出性年齡相關(guān)性黃斑變性的療效觀察[J];黑龍江醫(yī)學(xué);2014年07期

3 張勇;李宏艷;王秋平;于寰;張朝陽;;肝腎不足型骨質(zhì)疏松癥患者體液免疫水平的變化及骨愈靈的療效觀察[J];現(xiàn)代生物醫(yī)學(xué)進(jìn)展;2013年22期

4 陳本善;;補肝腎增發(fā)靈粉劑膠囊治療肝腎不足型脫發(fā)的臨床療效觀察[J];中醫(yī)臨床研究;2014年20期

5 陳修漾;陳達(dá)燦;陳建宏;危建安;;肝腎不足型重型斑禿患者血皮質(zhì)醇及糖皮質(zhì)激素受體mRNA的表達(dá)狀況[J];南方醫(yī)科大學(xué)學(xué)報;2012年02期

6 夏友敬;夏新權(quán);;自擬頸舒康湯治療肝腎不足型頸椎病38例[J];中醫(yī)藥導(dǎo)報;2012年12期

7 鄭定輝;楊嫻;李其林;;中藥對肝腎不足型白癜風(fēng)外周血T淋巴細(xì)胞亞群觀察[J];中國中西醫(yī)結(jié)合皮膚性病學(xué)雜志;2009年02期

8 張志英;佳蓉片治療女性更年期綜合征36例觀察[J];實用中醫(yī)藥雜志;2000年05期

9 席建元;榮光輝;胡金輝;陳偶英;袁軼峰;賀菊喬;;芪貞顆粒聯(lián)合潑尼松治療肝腎不足型重型斑禿療效觀察[J];中國中西醫(yī)結(jié)合皮膚性病學(xué)雜志;2010年06期

10 徐立;黃莉;;中藥聯(lián)合針灸治療肝腎不足型腰腿痛臨床觀察[J];湖北中醫(yī)雜志;2012年12期

相關(guān)碩士學(xué)位論文 前9條

1 王鑫;電針治療肝腎不足型絕經(jīng)后骨質(zhì)疏松癥的臨床觀察[D];福建中醫(yī)藥大學(xué);2016年

2 董曉磊;白斑膠囊治療肝腎不足型白癜風(fēng)的臨床研究[D];長春中醫(yī)藥大學(xué);2011年

3 黃義;脂菟消白酊治療局限性白癜風(fēng)肝腎不足型的臨床觀察[D];湖南中醫(yī)藥大學(xué);2010年

4 陳振中;壯骨鎮(zhèn)痛膠囊治療原發(fā)性骨質(zhì)疏松癥骨痛（肝腎不足型）的臨床療效觀察[D];湖南中醫(yī)藥大學(xué);2011年

5 榮光輝;芪貞顆粒治療肝腎不足型重型斑禿的臨床研究[D];湖南中醫(yī)藥大學(xué);2010年

6 李彥;首烏方治療肝腎不足型斑禿的臨床觀察[D];黑龍江中醫(yī)藥大學(xué);2012年

7 張美慧;生發(fā)飲治療斑禿（肝腎不足型）的臨床觀察[D];黑龍江中醫(yī)藥大學(xué);2014年

8 申莎菲;清逸散治療斑禿（肝腎不足型）臨床療效觀察[D];成都中醫(yī)藥大學(xué);2011年

9 石洪瑞;美妍靚膚湯治療肝腎不足型黃褐斑的臨床觀察[D];黑龍江中醫(yī)藥大學(xué);2013年

，

本文編號：1372094