热敏灸联合针灸及电针治疗原发性骨质疏松症患者的疗效分析及对骨转换状态的影响

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• Title:热敏灸联合针灸及电针治疗原发性骨质疏松症患者的疗效分析及对骨转换状态的影响

• 卷期:2024年22卷19期

• 作者:万满华  赖华平   曾森炎

• 兴国县中医院骨科， 江西 兴国  342400

• Author(s):Wan Man Hua Lai Hua Ping Zeng Senyan

• Department of Orthopaedics, Xingguo Hospital of Traditional Chinese Medicine, Xingguo 342400, China

• 关键词热敏灸；电针；针灸；骨转换状态；原发性骨质疏松症

• Keywords:heat-sensitive moxibustion; Electric needle; Acupuncture; Bone transition status; Primary osteoporosis

• 摘要: 目的 探讨热敏灸联合针灸及电针治疗原发性骨质疏松症患者的治疗效果。方法 回顾性分析我院于2020年6月至2022年6月收治的70例原发性骨质疏松症患者，根据治疗方案的不同进行分组，将34例采用西医常规治疗方案（骨化三醇软胶囊+骨肽注射液）的患者归入常规组，36例在西医常规治疗基础上应用热敏灸联合针灸及电针治疗的患者则纳入研究组。治疗3个月后，对两组骨转换状态指标进行比较，并对比其中医证候积分，同时对疗效进行分析。结果治疗后，研究组尿吡啶啉（PYR）、Ⅰ型胶原N末端肽（NTX）、骨钙素（BGP）水平均低于常规组，而骨保护素（OPG）较常规组高（P＜0.05）；研究组疼痛、肢体倦怠、筋肉挛缩评分均低于常规组（P＜0.05）；研究组治疗总有效率较常规组高（P＜0.05）。结论 采用热敏灸联合针灸及电针的治疗方案可有效改善原发性骨质疏松症患者骨转换状态，对其中医证候积分的降低有重要意义，其临床疗效较高，可作为该疾病的优选治疗方案。                                                                                                                                                                                

• Abstract To investigate the therapeutic effect of heat-sensitive moxibustion combined with acupuncture and electroacupuncture on patients with primary osteoporosis. Methods 70 patients with primary osteoporosis admitted to our hospital from June 2020 to June 2022 were retrospectively analyzed and grouped according to different treatment regimens. 34 patients receiving conventional Western medicine treatment (calcitriol soft capsule + bone peptide injection) were classified into the conventional group. 36 patients treated with heat-sensitive moxibustion combined with acupuncture and electroacupuncture on the basis of conventional Western medicine were included in the study group. After 3 months of treatment, the indicators of bone transition status were compared between the two groups, and the scores of TCM syndrome were compared, and the efficacy was analyzed. Results After treatment, the levels of uropyridinoline (PYR), N-terminal peptide of type Ⅰ collagen (NTX) and osteocalcin (BGP) in the study group were lower than those in the conventional group, but osteopalcin (OPG) was higher than that in the conventional group (P < 0.05). Pain, limb fatigue and muscle contracture scores in the study group were lower than those in the conventional group (P < 0.05). The total effective rate of the study group was higher than that of the conventional group (P < 0.05). Conclusion The treatment of heat-sensitive moxibustion combined with acupuncture and electroacupuncture can effectively improve the bone transition status of patients with primary osteoporosis, which is of great significance for the reduction of TCM syndrome scores. Its clinical efficacy is high, and it can be used as the preferred treatment of this disease.

  原发性骨质疏松症作为一种系统性骨病，以骨微细结构破坏、骨量下降为特征，可增加骨质的脆性，令骨折风险提升，而且，该病多发于中老年人，疼痛、乏力均为其主要临床症状，可导致患者生活质量严重降低[1]。现阶段，对于原发性骨质疏松症，临床以西药治疗为主，其虽然能在一定程度上刺激骨细胞增殖、调节骨代谢，但是，长期应用西药进行治疗可增加毒副反应，从而对治疗效果造成影响。原发性骨质疏松症属于中医“骨萎”、“骨痹”范畴，与气血失调、脾肾两虚、阴阳失衡有关，因此需要以壮阳健脾、温肾行气、扶正固本为治疗原则[2]。热敏灸、针灸均属于中医特色外治法，有助于温热局部气血、通络舒筋，将其与电针联合应用可加强穴位的敏感性，共奏开阻除痹、行气健脾、升阳固本的效果[3]。