• 1. Department of Gynaecology, Shenzhen Xixiang People’s Hospital of Baoan District, Shenzhen, Guangdong 518102, P. R. China; 2. Department of Orthopedics, Shenzhen Baoan District Chinese Medicine Hospital, Shenzhen, Guangdong 518133, P. R. China;
XIANG Keming., Email: 952558249@qq.com
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目的  探討獨活寄生湯聯合唑來膦酸治療絕經后肝腎虧虛型骨質疏松癥(PO)的療效。 方法  選取2009年2月-2012年12月收治的210例絕經后肝腎虧虛型PO患者,且所有患者均愿意接受研究。采用隨機對照試驗法,將患者分為A、B、C 3組各70例。A組采用獨活寄生湯聯合唑來膦酸治療;B組采用唑來膦酸治療;C組采用獨活寄生湯治療。觀察3組患者治療前后骨密度、骨源性堿性磷酸酶(NBAP)、骨鈣素(BGP)、雌二醇(E2)變化,療效及不良反應。 結果  骨密度、NBAP、BGP、E2各項指標,治療前3組患者比較差異無統計學意義(P>0.05);治療后A組各項指標明顯優于B組、C組(P<0.05);B組與C組對比,差異無統計學意義(P>0.05);治療后A組總有效率為97.14%,與B組、C組對比,差異有統計學意義(P<0.05)。3組均未見嚴重不良反應。 結論  獨活寄生湯聯合唑來膦酸治療絕經后肝腎虧虛型PO療效顯著,可有效提高患者骨密度、BGP、E2含量,降低骨源性堿性磷酸酶含量,緩解骨質疏松,且無嚴重不良反應發生,值得臨床推廣。

Citation: ZHUANG Qiong,XIANG Keming.. Curative Effect Observation of Duhuojisheng Decoction Combined with Zoledronic Acid in the Treatment of Menopausal Liver-Kidney Asthenia Osteoporosis. West China Medical Journal, 2013, 28(12): 1846-1849. doi: 10.7507/1002-0179.20130584 Copy

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