世界中医药

目的：通过对照试验研究探讨耳穴联合艾灸对绝经后肝肾阴虚型骨量减少的治疗作用。方法：中医辨证为肝肾阴虚的绝经后骨量减少患者，采用耳穴联合艾灸的治疗方法，疗程3个月，治疗前后进行疗效比较。结果：治疗后，各临床症状评分及总积分均有显著改善（P<0.05）；其中腰脊酸痛、胫膝酸软、耳鸣健忘及总积分等方面明显改善（P<0.05），骨密度（Bone mineral density，BMD）有一定程度增加（P<0.05），雌激素2（Estrogen，E2）有一定程度增加（P<0.05），表明该治疗能提高患者雌激素水平、提高骨密度、改善骨代谢，前后比较均有统计学意义。结论：耳穴贴压和艾灸穴位治疗绝经后骨质疏松症安全简便，疗效确切，无不良反应，患者依从性好，无影响患者心理精神行为、增加恶性肿瘤发病率等不良反应，是易被患者接受的有效防治绝经后骨量减少症的另一途径，值得临床推广应用。

English Summary:

To explore the efficacy of ear point sticking and moxibustion treating postmenopausal bone loss of liver-yin and kidney-yin deficiency type.Methods: Patients with postmenopausal bone loss of liver-yin and kidney-yin deficiency type were treated with ear point sticking and moxibustion for three months. The therapeutic effect was observed by comparing conditions before and after treatment. Results: After treatment, the clinical symptoms scores and gross score were remarkably improved（P<0.05）, especially the lumbar pain, relative weakness in the loins and knees, tinnitus amnesia were significantly improved, and there were significant differences （P<0.05）. BMD was to some extent increased（P<0.05）, and E2 was also increased（P<0.05）. It indicated that the method can improve E2, BMD, and bone metabolism with significant differences compared with the conditions before treatment. Conclusion:Ear point sticking and moxibustion treating postmenopausal bone loss of liver-yin and kidney-yin deficiency type is safe and easy with definite curative effect and no adverse reaction, and the patients have good compliance. It does not have side effects of affecting the mental condition or increasing the incidence rate of malignant tumor. It is another effective way to be easily accepted by patients with postmenopausal bone loss, and it is worthy of clinical application.

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