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电针联合骨质疏松治疗仪对脊髓损伤患者骨代谢指标的影响
引用本文:徐贞杰,向连,漆伟,潘科,李伟,谭一,程致. 电针联合骨质疏松治疗仪对脊髓损伤患者骨代谢指标的影响[J]. 世界针灸杂志, 2020, 30(4): 251-255. DOI: 10.1016/j.wjam.2020.06.004
作者姓名:徐贞杰  向连  漆伟  潘科  李伟  谭一  程致
作者单位:重庆大学附属三峡医院,重庆三峡中心医院,重庆万州4040000,中国;重庆大学附属三峡医院,重庆三峡中心医院,重庆万州4040000,中国;重庆大学附属三峡医院,重庆三峡中心医院,重庆万州4040000,中国;重庆大学附属三峡医院,重庆三峡中心医院,重庆万州4040000,中国;重庆大学附属三峡医院,重庆三峡中心医院,重庆万州4040000,中国;重庆大学附属三峡医院,重庆三峡中心医院,重庆万州4040000,中国;重庆大学附属三峡医院,重庆三峡中心医院,重庆万州4040000,中国
基金项目:Supported by Special fund project of science and technology innovation,Wanzhou district,Chongqing
摘    要:


Effect of electroacupuncture combined with osteoporosis treatment apparatus on bone metabolism in patients with spinal cord injury
Affiliation:1. College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China (天津中医药大学中医学院, 天津301617, 中国);2. Experimental Acupuncture-Moxibustion Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China (天津中医药大学实验针灸学研究中心, 天津301617, 中国);3. School of Acupuncture-moxibustion and Tuina, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China (天津中医药大学针灸推拿学院, 天津301617, 中国);1. Gynecology Department of the First Hospital of Heilongjiang University of Chinese Medicine, Harbin 150040, China (黑龙江中医药大学附属第一医院妇科, 哈尔滨 150040, 中国);2. Studio of National Eminent Veteran Physician of Traditional Chinese Medicine, the Second Hospital of Heilongjiang University of Chinese Medicine, Harbin 150040, China (黑龙江中医药大学附属第二医院全国名老中医药专家工作室, 哈尔滨 150040, 中国);3. Department of Liver, Spleen and Stomach, the First Hospital of Heilongjiang University of Chinese Medicine, Harbin 150050, China (黑龙江中医药大学附属第一医院肝脾胃科, 哈尔滨 150040, 中国);1. Bishinkai, Tokyo 108-0071, Japan;2. Medical Cosmetic Acupuncture Association, Tokyo 106-0045, Japan;3. Anti-Aging Biyouhari Kenkyukai, Nagoya city 466-0023, Japan;4. Seirin corporation, Sizhioka city 424-0037, Japan;5. Sichuan Yuanquan Technology Co., Ltd, Chengdu 610041, China (四川源泉医疗器械有限公司,成都 610041, 中国);1. Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China中国中医科学院针灸研究所, 北京100700, 中国;2. Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China中国中医科学院基础理论研究所, 北京 100700, 中国;3. China Association of Acupuncture and Moxibustion, Beijing 100700, China中国针灸学会, 北京100700, 中国;1. The Third Department of Encephalopathy, Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei 230036, China (安徽中医药大学第二附属医院脑病三科, 合肥230036, 中国);2. Acupuncture and Massage Department, Mengcheng County Hospital of Traditional Chinese Medicine, Mengcheng 233500, Anhui Province, China(安徽省蒙城县中医院针灸科, 蒙城233500, 中国);3. Graduate School of Anhui University of Traditional Chinese Medicine, Hefei 230038, China(安徽中医药大学研究生学院, 合肥230038, 中国);4. Department of Neurology, First Affiliated Hospital of Anhui Medical University, Hefei 230022, China(安徽医科大学第一附属医院神经内科, 合肥230022, 中国);5. College of Acupuncture and Massage, Anhui University of Traditional Chinese Medicine, Hefei 230038, China(安徽中医药大学针灸推拿学院, 合肥230038, 中国);6. Department of Acupuncture and Moxibustion, First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei 230031, China(安徽中医药大学第一附属医院针灸科, 合肥230031, 中国)
Abstract:ObjectiveTo observe the effect of electroacupuncture combined with low-frequency pulsed electromagnetic field on bone metabolism in patients with spinal cord injury (SCI).MethodsThe 60 SCI patients who met the inclusion criteria were randomly divided into 2 groups by means of a random number table. In the control group, 30 patients were treated with osteoporosis treatment apparatus. In the observation group, 30 patients were treated with osteoporosis treatment apparatus and electroacupuncture at the foot-shaoyangacupoints [Yánglíngquán (阳陵泉GB 34) and Xuánzhōng (悬钟GB 39) of both sides].The treatment was applied once a day, 5 days a week, for 8 weeks.Before and after treatment, the changes of indexes in the two groups, including the bone mineral density (BMD), bone gla-containing protein (BGP), serum alkaline phosphatase (ALP), procollagen type I C-peptide (PICP), and 25‑hydroxy-vitamin D [25(OH)D], were observed for comparison.ResultsAfter treatment, in the two groups, the BMD and 25(OH)D indexes of the femoral neck, greater trochanter, and Ward's triangle region were not significantly changed in comparing with those before treatment (P>0.05), while the BGP, ALP, and PICP indexes were significantly higher than those before treatment (P<0.05). After treatment, in the observation group, the BGP and ALP indexes were significantly increased in comparing with those of the control group, and the difference was statistically significant (P<0.05), whilst the BMD, PICP, and 25(OH)D indexes of the femoral neck, greater trochanter, and wards triangle region, were not significantly different in comparing with the control group (P>0.05).ConclusionThe osteoporosis treatment apparatus can improve bone metabolism in SCI patients, and the curative effect can be enhanced when combined with electroacupuncture at foot-shaoyangacupoints.
Keywords:
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