原发性骨质疏松症患者的辨证施护

Traditional Chinese medicine based nursing for patients with primary osteoporosis

目的观察辨证施护在原发性骨质疏松症治疗中的效果。方法将162例原发性骨质疏松症患者分为观察组102例和对照组60例。两组均采用中西药治疗原发性骨质疏松症,对照组采用常规护理,观察组在此基础上将患者分为肝肾不足、脾肾两虚、脾肾两虚兼血瘀3个证型,按照不同中医证型,给予药膳疗法、穴位贴敷疗法、运动疗法综合干预。经过3个月治疗,观察两组患者中医症候量表积分、单项中医主要症状积分、临床疗效变化。结果干预后观察组中医症候量表积分、单项中医主要症状积分显著优于对照组,临床总有效率显著高于对照组(均P<0.01)。结论辨证施护能有效改善患者骨痛、腰背酸痛、腿抽筋症状,提高临床疗效。

Objective To observe the effect of the traditional Chinese medicine （TCM） based nursing on primary osteoporosis. Methods A total of 162 patients with primary osteoporosis were divided into an observation group （n=102） and a control group （n= 60）. Both groups received traditional Chinese herbal and western medicines. Patients in the control group received routine nursing care, while their counterparts in the observation group were divided into three types （liver and kidney deficiency, spleen and kidney deficiency, and spleen and kidney deficiency combined with blood stagnation） according to their syndromes and received dietary therapy, acupoint sticking therapy and exercise therapy based on the different types of syndromes. Changes of the TCM syndrome scale scores, single main symptom scores, and clinical efficacy were observed after 3 months treatment. Results The above three parameters in the observation group were significantly better than those in the observation group（P〈0.01 for all）. Conclusion The TCM based nursing can relieve symptoms as bone pain, low back pain, and leg spasm in patients with primary osteoporosis, and improve clinical efficacy.