| 引用本文:杜晓丽1 郑德三2 吕红玲3.绝经后女性骨质疏松症的影响因素及中医证型分布规律初探[J].世界中医药,2014,9(06):. |
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| 绝经后女性骨质疏松症的影响因素及中医证型分布规律初探 |
| Discussion on Factors Affecting Female Postmenopausal Osteoporosis and Its TCM Syndrome Type Distribution |
| 投稿时间：2014-01-25 |
| DOI：10.3969/j.issn.1673-7202.2014.06.022 |
| 中文关键词: 绝经后女性骨质疏松症 影响因素 证型分布规律 |
| English Keywords:Osteoporosis in postmenopausal women Influencing factors Type of syndrome distribution |
| 基金项目:河北省科技支撑计划项目重点疾病防治技术研究(编号：09ZD282)；2012年云南省教育厅科学研究基金资助项目（编号：2012Y065） |
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| 中文摘要: |
| 目的：观察分析绝经后女性骨质疏松症的影响因素并总结中医证型分布规律。方法：选取2010年3月至2013年3月在我科诊治符合入组条件的绝经后骨质疏松症患者238例，随机分为对照组（骨密度正常组），观察组（骨质疏松组）。通过对患者年龄、绝经年龄、绝经年限、身高、体重等资料的收集，进行统计分析。观察组经我科副主任以上职称医师诊断，判定病例各自分属证型，然后进行统计分析。结果：2组病例在年龄、绝经年龄、绝经年限、体重指数方面比较中，差异有统计学意义（P<0.05）；在证型分布规律可以看出气滞血瘀证和肾精不足证患者所占比重大于脾肾阳虚证及肝肾不足证。结论：患者年龄的增大、绝经年限的增长、体重指数偏低等因素与绝经后骨质疏松症关系密切。中医证型分布依次为气滞血瘀证＞肾精不足证＞脾肾阳虚证＞肝肾不足证。在临床中可适当加入活血化瘀、滋补肾精、温补脾肾阳气、滋补肝肾等中药，值得进一步研究和总结归纳。 |
| English Summary: |
| To observe and analyze the influential factors of osteoporosis in postmenopausal women and summarize the syndromes distribution. Methods： Two hundred and thirty eight patients with osteoporosis in postmenopausal period treated in our hospital from 2010 March to 2013 March who met the inclusion criteria were randomly divided into control group (normal bone mineral density group)，and the observation group (osteoporosis group). The patients age，menopausal age，years since menopause，height，weight and other data were collected and analyzed. Patients in the observation group were diagnosed by doctors above deputy director level to judging their syndrome types，and given statistical analysis. Results： There were statistically significant differences between the two groups in terms of age，menopausal age，menopause years，body mass index (P< 0.05); the syndrome distribution in the order of frequency were the syndrome of qi stagnation and blood stasis，kidney deficiency，Yang deficiency of spleen and kidney，liver and kidney deficiency syndrome. Conclusion： Factors including increasing age，long menopause years，low body mass index are closely related to postmenopausal osteoporosis. The distribution of TCM syndromes are qi stagnation and blood stasis，kidney essence deficiency，spleen kidney yang deficiency syndrome，deficiency of liver and kidney syndrome. In clinical practice，it may be appropriate to add Chinese medicine that can disperse blood stasis，nourish kidney，tonify the spleen and kidney yang，nourish the liver and kidney，which is worth further study，induction and summary. |
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