中药敷脐对绝经后骨质疏松症的干预效果观察

Intervention Effect of Herbal Medicinal Plaster Therapy on the Umbilicus for Postmenopausal Osteoporosis

目的观察中药敷脐疗法对绝经后骨质疏松症的临床疗效和相关指标的影响。方法将42例绝经后骨质疏松症患者随机分为2组,对照组患者给予钙尔奇D600嚼服和阿伦磷酸钠口服治疗;治疗组患者给予钙尔奇D600嚼服和补肾活血方敷脐,3个月为一疗程。治疗前后进行疼痛评分,并检测L1-4腰椎及左侧股骨Ward三角区骨密度含量。结果治疗组治疗前后疼痛评分及L1-4腰椎及左侧股骨Ward三角区骨密度含量比较,差异有统计学意义(P<0.01);与对照组疼痛评分及左侧股骨Ward三角区骨密度含量比较,差异有统计学意义(P<0.01)。结论中药敷脐治疗能有效改善绝经后骨质疏松症所致的疼痛及提高L1-4腰椎及左侧股骨Ward三角区BMD含量,且操作简便,无毒副作用,值得临床推广。

Objective To observe the clinical efficacy on postmenopausal osteoporosis treated with herbal medicinal plaster therapy on the umbilicus and the impacts on the relevant indexes. Methods Forty - two patients of postmenopausal osteoporosis were randomized into two groups. In a control group, Caltrate I）600 for chewing and alendronate for oral administration were prescribed. In a treatment group, Cahrate D600 for chewing and herbal medicinal plaster therapy on the umbilicus with bushen huoxue formula were provid- ed. The treatment for 3 months made one session. The pain scale was graded before and after treatment. The bone mineral density（BMD） in L1-4 and Ward triangular area of the left femur were detected. Results In the treatment group,the differences were significant in pain score and BMD in L1-4 and Ward triangular area of the left femur before and after treatment（P〈O. 01 ）. The pain score and BMD in Ward triangular area of the left femur were different siguificanfly as compared with those in the control group（ P 〈 0.01 ）. Conclusion The herbal medicinal plaster therapy on the umbilicus effectively relieves pain induced by postmenopausal os- teoporosis and improves BDM in L1-4 and Ward triangular area of the left femur. This therapy is simple in op- eration and has no toxic side effects. Hence, it deserves to be promoted clinically.