仙灵骨葆胶囊联合阿仑膦酸钠片、鲑降钙素对骨质疏松症患者的治疗作用

The efficacy of Xianlinggubao capsule combined with alendronate sodium tablets and salmon calcitonin in the treatment for the patients with osteoporosis

目的 ：探讨仙灵骨葆胶囊联合阿仑膦酸钠片、鲑降钙素对骨质疏松症患者的治疗作用。方法 ：选取2013年5月-2014年5月期间我院门诊和住院部就诊的骨质疏松症患者79例,采用随机数字表法将患者分为对照组（n=39,阿仑膦酸钠片联合鲑降钙素药物治疗）和观察组（n=40,在对照组基础上采用仙灵骨葆胶囊治疗）,比较两组临床疗效。结果 ：观察组显效率和治疗有效率均明显高于对照组（P〈0.05）。治疗前,两组患者骨密度值（BMD）、血磷（S-P）、血钙（S-Ca）、血清碱性磷酸酶（ALP）和血骨钙素（BGP）水平比较差异无统计学意义（P〉0.05）。治疗3~12个月后,观察组BMD值明显高于同组治疗前,且明显高于对照组。治疗后,全部患者S-P、S-Ca和BGP水平均明显高于治疗前,血清ALP明显低于治疗前,其中观察组S-P、S-Ca和BGP水平均明显高于对照组,ALP水平明显低于对照组,比较均有统计学意义。两组药物不良反应发生率比较差异无统计学意义（P〉0.05）。结论：仙灵骨葆胶囊联合阿仑膦酸钠片、鲑降钙素对骨质疏松症患者具有明显的治疗作用,有助于改善骨代谢指标。

Objective： To discuss the efficacy of Xianlinggubao capsule combined with alendronate sodium tablets and salmon calcitonin in the treatment of the patients with osteoporosis. Methods： Seventy-nine outpatients and inpatients with osteoporosis in our hospital from May, 2013 to May, 2014 were selected and divided into a control group（n=39, received alendronate sodium tablets and salmon calcitonin treatment） and an observation group（n=40, received Xianlinggubao capsule on the basis of the control group） by digital randomized method. The clinical efficacy was compared between two groups. Results：The efficiency and treatment effectiveness of the observation group were significantly higher than those of the control group（P〈0.05）. There was no statistical significance in bone mineral density（BMD）, blood phosphorus（S-P）, blood calcium（S-Ca）, serum alkaline phosphatase（ALP） and osteocalcin（BGP） between two groups before treatment（P〉0.05）. The BMD of the observation group was significantly higher 3 ~ 12 months after treatment than before, and that of the control group. The S-P, S-Ca and BGP levels of all patients were significantly higher while the serum ALP was significantly lower after treatment than before（P〈0.05）. There were no obvious differences in adverse drug reaction between two groups（P〉0.05）. Conclusion： Xianlinggubao capsule combined with alendronate sodium tablets and salmon calcitonin shows an obvious therapeutic effect in the treatment of the patients with osteoporosis and can improve bone metabolism index.