摘要
目的分析皮内针作用于俞募配穴、少阳经穴治疗围绝经期女性骨质疏松症患者的效果.方法选取2021年3月—2023年1月本院收治的96例围绝经期女性骨质疏松症患者为研究对象,按随机数字表法将其分为对照组和观察组,各48例.对照组行常规西医治疗,观察组加以皮内针作用于俞募配穴、少阳经穴治疗,持续治疗3个月.对比两组临床疗效、疼痛程度、骨密度、骨代谢指标、不良反应发生情况.结果观察组治疗总有效率为95.83%,高于对照组,差异有统计学意义(P<0.05);治疗前,两组疼痛视觉模拟(VAS)评分、L_(1~4)腰椎、左侧股骨颈骨密度、抗酒石酸酸性磷酸酶5b(TRACP5b)、骨特异性碱性磷酸酶(BAP)、Ⅰ型胶原C端肽(CTX-Ⅰ)水平相比,组间差异无统计学意义(P>0.05);治疗3个月后,观察组VAS评分为(2.18±0.32)分、TRACP5b水平为(3.59±0.63)U/L、CTX-Ⅰ水平为(315.29±28.74)ng/L,均低于对照组,L_(1~4)腰椎骨密度为(0.79±0.16)g/cm^(2)、左侧股骨颈骨密度为(0.72±0.15)g/cm^(2)、BAP水平为(30.42±4.28)μg/L,均高于对照组,组间差异有统计学意义(P<0.05).结论皮内针作用于俞募配穴、少阳经穴在围绝经期女性骨质疏松症患者治疗中效果显著,可减轻疼痛,提高机体骨密度,值得临床推广应用.
Objective To analyze the effect of intradermal acupuncture on Shu-and mu-acupoints and Shaoyang meridian points in the treatment of perimenopausal women with osteoporosis.Methods 96 perimenopausal women with osteoporosis admitted to our hospital from March 2021 to January 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 48 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with intradermal needling at Shu-and mu-acupoints and Shaoyang meridian points.The treatment lasted for 3 months.The clinical efficacy,pain degree,bone mineral density,bone metabolism indexes,and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 95.83%,higher than that of the control group,and the difference was statistically significant(P<0.05);before treatment,there were no significant differences in pain Visual Analogue Scale(VAS)score,bone mineral density of L_(1-4) lumbar spine and left femoral neck,tartrate-resistant acid phosphatase 5b(TRACP5b),bone specific alkaline phosphatase(BAP)and C-telopeptide of typeⅠcollagen(CTX-Ⅰ)between the two groups(P>0.05);after 3 months of treatment,the VAS score of the observation group was(2.18±0.32)points,the level of TRACP5b was(3.59±0.63)U/L,and the level of CTX-Ⅰwas(315.29±28.74)ng/L,which were lower than those of the control group.The BMD of L_(1-4) lumbar spine was(0.79±0.16)g/cm^(2),the BMD of left femoral neck was(0.72±0.15)g/cm^(2),and the level of BAP was(30.42±4.28)μg/L,which were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Intradermal acupuncture at Shu and Mu points and Shaoyang meridian points is effective in the treatment of perimenopausal women with osteoporosis,which can reduce pain and improve bone mineral density,so it is worthy of clinical application.
作者
张晶
张秀芳
ZHANG Jing;ZHANG Xiufang(2nd Ward of Orthopedics Department,Shenzhen Traditional Chinese Medicine Hospital,Shenzhen Guangdong,518000,China)
出处
《反射疗法与康复医学》
2023年第15期22-25,共4页
Reflexology And Rehabilitation Medicine
基金
广东省中医药局项目(202205101024028300)。
关键词
围绝经期女性骨质疏松症
皮内针
骨密度
骨代谢
不良反应
Osteoporosis in perimenopausal women
Intradermal needle
Bone mineral density
Bone metabolism
Adverse effect
作者简介
张晶(1982-),女,黑龙江大庆人,本科,主管护师,研究方向:中医护理;通信作者:张秀芳(1975-),女,四川阆中人,本科,副主任护师,研究方向:中医护理,邮箱:83731875@qq.com。
