绝经后骨质疏松症患者舌象瘀斑指数与骨密度T值及骨痛VAS评分相关性探讨

Ecchymosis index of tongue demonstration with T score of bone mineral density and the VAS scores of bone pain in women with postmenopausal osteoporosis

目的探讨绝经后骨质疏松症患者舌象瘀斑指数与骨密度及骨痛评分的相关性。方法绝经后骨质疏松症患者(PMO组)30例,骨密度(BMD)正常绝经妇女(非PMO组)30例,均采用ZBOX-I型中医舌脉象数字化采集分析系统进行舌象采集,双能X线吸收法(DEXA)测定L2-L4腰椎BMD,疼痛VAS评分法进行骨痛评分。结果 PMO组舌象瘀斑指数明显高于非PMO组,差异有统计学意义(P<0.001);PMO组舌象瘀斑指数与骨密度T值间具有相关性(P<0.05),且呈负相关;PMO组骨痛VAS评分明显高于非PMO组,差异有统计学意义(P<0.001);PMO组舌象瘀斑指数与骨痛VAS评分间具有相关性(P<0.05),且呈正相关;非PMO组舌象瘀斑指数与骨密度T值间无明显相关性(P>0.05)。非PMO组舌象瘀斑指数与骨痛VAS评分间无明显相关性(P>0.05)。结论绝经后骨质疏松症患者舌象瘀斑指数与骨密度及骨痛VAS评分间具有一定的相关性。

Objective To investigate the relationship between ecchymosis index of tongue demonstration and T score of bone mineral density,the VAS scores of bone pain in women with postmenopausal osteoporosis.Me thods All 60 cases were divided into two groups according to the result of BMD.30 women with postmenopausal osteoporosis were assigned to PMO group.Another30 women with normal BMD was assigned to non PMO group.Tongue demonstration was collected by ZBOX-I type tongue and pulse digital acquisition and analysis system.BMD were measured by dual energy X-ray absorption（ DEXA）.The scores of bone pain were measured by visual analogue scale（ VAS）.Re sults The ecchymosis index of tongue demonstration and the VAS scores of bone pain in PMO group were significantly higher than that in non PMO group（ P〈0.05）.There was a negative correlation between the ecchymosis index of tongue demonstration and the T score of BMD in PMO group（（ P〈0.05）.There was a positive correlation between ecchymosis index of tongue demonstration and the VAS scores of bone pain in PMO group（ P〈0.05）.But the ecchymosis index of tongue demonstration had no obvious correlation with the T score of BMD in non PMO group（ P〉0.05）.The ecchymosis index of tongue demonstration had no obvious correlation with the VAS scores of bone pain in non PMO group（ P〈0.05）.Conclusion The ecchymosis index of tongue demonstration has some correlation with T score of bone mineral density and the VAS scores of bone pain in women with postmenopausal osteoporosis.