中西药治疗老年性骨质疏松症的效果观察

Comparison of Chinese and western medicine for the treatment of senile osteoporosis

目的总结分析强阳坚阴胶囊对老年性骨质疏松症的疗效。方法选取有临床症状并且通过双能X线骨密度检测仪检查确诊为骨质疏松症的老年患者100例,随机分为西药组和中药组各50例;其中中药组患者服用强阳坚阴胶囊治疗每日3次,每次5粒,西药组患者给予阿伦磷酸钠片每日一次,每天10 mg,每天早餐前30 min空腹口服,两组均半年为一个疗程。患者治疗半年后通过检测腰椎及股骨颈骨密度的变化比较两组疗效。结果治疗半年后,两组指标都有改善(P<0.05),中药组在临床症状改善及骨密度增加总有效率为100.0%,西药组为82.0%,两组相比差异有统计学意义(P<0.05)。结论强阳坚阴胶囊可有效地治疗老年性骨质疏松症,提高患者骨密度,值得临床推广使用。

Objective To evaluate the treatment effect of the Qiang Yang Jian Yin（Strengthen Yang Fortify Yin） capsule on senile osteoporosis. Methods One hundred elderly patients with clinical symptoms and dual-energy X-ray absorptiometry confirmed osteoporosis were randomly divided into western medicine and Chinese medicine group with 50 cases each. The Chinese traditional medicine group took Qiang Yang Jian Yin capsule three times a day,five capsules each time,and the western medicine group received Alendronate tablet once a daily of 10 mg,30 min on an empty stomach before breakfast. Both groups received treatment for 6 months. The changes of lumbar spine and femoral neck BMD over 6 months were compared between the two groups.Results After six months,in both groups BMD improved（P〈0. 05）. In the Chinese traditional medicine group,the total effective rate was 100. 0% for improving clinical symptoms and bone mineral density,and in the western medicine group the total effective rate was 82. 0%,with significant difference between the two groups（P〈0. 05）. Conclusion Qiang Yang Jian Yin capsule can effectively treat senile osteoporosis,improve patients＇ bone mineral density,and thus worth clinical promotion.