摘要
目的研究中老年骨质疏松性骨折患者的中医证候特征。方法纳入2015年10月至2016年1月入住上海龙华医院骨伤科病房的骨质疏松性骨折患者80例,运用跟骨骨密度仪进行足跟部骨密度检测,填写中医证候问卷调查量表,对相关证型数据进行分析和挖掘。结果中老年骨质疏松性骨折患者中脾肾阳虚型37例,占46.25%;肝肾阴虚型13例,占16.25%;气滞血瘀型14例,占17.50%;其他证型16例,占20.00%。绝经时间较久的妇女中,脾肾阳虚型患者易发生至少2次及其以上骨折,以髋部、脊柱骨折为主。结论中老年骨质疏松患者出现骨折多因肌肉协调性下降而摔倒造成,脾主肌肉、肾主骨,若脾肾亏虚则无以濡养肌肉、骨骼,筋缓骨痿,因此,“脾肾相关”“先、后天之本”理论在骨质疏松性骨折防治中具有重要指导作用。
Objective To study the characteristics of TCM syndromes in elderly patients with osteoporotic fractures.Methods A total of 80 patients with osteoporotic fractures,who were in the orthopedic ward of Longhua Hospital from October 2015 to January 2016,were selected and investigated with questionnaires.Bone mineral density of the heel was measured with calcaneal bone densitometer.The data related with TCM syndromes were analyzed and excavated.Results There were 37 cases of spleen-kidney yang deficiency accounting for 46.25%of the total,13 cases of liver-kidney yin deficiency accounting for 16.25%,and 14 cases of qi stagnation-blood stasis accounting for 17.50%.The patients with spleen and kidney yang deficiency were prone to fractures at least twice or more times,especially in females with longer period after menopause,who mainly suffered from hip or spine fractures.Conclusion Elderly patients with osteoporosis often suffer from fractures due to falling,causing by decrease of muscle coordination.Spleen governs muscle and kidney governs bone.Muscle-skeletal system becomes weak while spleen and kidney are deficient.Thus the theories of spleen-kidney correlation and congenital and acquired origin play key roles in prevention and treatment of osteoporotic fractures.
作者
笪巍伟
唐德志
金镇雄
赵永见
舒冰
李晓锋
王晶
王腾腾
王拥军
施杞
马勇
郭杨
DA Weiwei;TANG Dezhi;JIN Zhenxiong;ZHAO Yongjian;SHU Bing;LI Xiaofeng;WANG Jing;WANG Tengteng;WANG Yongjun;SHI Qi;MA Yong;GUO Yang(Department of Orthopedics,Yangzhou Hospital of Traditional Chinese Medicine,Yangzhou 225000;Spine Research Institute,Shanghai University of Traditional Chinese Medicine,Shanghai 200032;Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032;Key Laboratory of Ministry of Education for Theory and Treatment of Bones and Muscles,Shanghai 200032;Nanjing University of Chinese Medicine,Nanjing 210023,China)
出处
《中国骨质疏松杂志》
CAS
CSCD
北大核心
2020年第1期6-10,共5页
Chinese Journal of Osteoporosis
基金
国家自然科学基金(81473701,81730107)
科技部重点领域创新团队项目(2015RA4002)
教育部创新团队发展计划(IRT1270)
上海市重中之重临床医学中心建设项目(2017ZZ01010)
上海市三年行动计划[ZY(2018-2020)-CCCX-3003]
