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目的:探讨温针灸特定穴配合药物疗法治疗原发性骨质疏松症作用机理及临床疗效。方法:按随机数字表将符合纳入标准的原发性骨质疏松症病例,随机分为单纯西药对照组及针药结合治疗组2组,对照组口服利塞膦酸钠,5mg,1d1次,30d为1个疗程,治疗1个疗程。治疗组药物同西药对照组,另温灸取穴:肝俞、肾俞、脾俞,每日1次,30d为1个疗程,治疗1个疗程。结果:治疗30次后对患者进行评分以判定治疗效果,在骨密度(BMD)、NRS评分方面,2组治疗前后组内比较均有显著性差异(P<0.01),治疗后2组间比较治疗组优于对照组(P<0.01);治疗组临床控制率明显高于对照组(P<0.05)。结论:针药结合疗法治疗原发性骨质疏松症的临床疗效满意。
Objective: To investigate the mechanism and clinical effect of acupuncture at specific points with warm acupuncture in the treatment of primary osteoporosis. Methods: According to the random number table, the patients with primary osteoporosis meeting the inclusion criteria were randomly divided into two groups: the western medicine control group and the acupuncture combination treatment group. The control group was given oral risedronate sodium for 5mg and 1d1 times, 30d for a course of treatment, treatment of a course of treatment. The treatment group with Western medicine control group, another warm acupoints: liver Yu, Shenshu, spleen, day 1, 30d for a course of treatment, a course of treatment. Results: After 30 times of treatment, the patients were scored to determine the treatment effect. There were significant differences in BMD and NRS scores between the two groups before and after treatment (P <0.01) The treatment group was better than the control group (P <0.01). The clinical control rate in the treatment group was significantly higher than that in the control group (P <0.05). Conclusion: Acupuncture combined with traditional Chinese medicine treatment of primary osteoporosis clinical efficacy satisfactory.