针灸加桂枝茯苓汤加味治疗绝经后骨质疏松症的临床观察

目的观察针灸加加味桂枝茯苓汤内服为主治疗绝经后骨质疏松症的临床疗效、作用机理。方法将56例病人随机分成治疗组(27例)和对照组(29例)。2组均采用西医常规治疗(补钙加活性维生素D,双膦酸盐,补充雌激素等)为基础治疗,治疗组加用针灸(穴取命门穴、肾俞、脾俞、百会、三阴交、足三里等)和中药桂枝茯苓汤加减治疗。均治疗4w为1疗程,2个疗程为1个观察周期,观察2组治疗前后的症状体征的改善情况。结果与对照组比较,治疗组疗效显著。结论针灸加中药桂枝茯苓汤内服是治疗绝经后骨质疏松症的有效方法。

Clinical observation of the acupuncture therapy combined with moxibustion and modified cinnamon twig and poria decoction(CTPD) for the treatment of postmenopausal osteoporosis

Objective To observe the clinical efficacy and mechanism of acupuncture therapy combined with modified cinnamon twig and poria decoction(CTPD) by oral administration for the treatment of postmenopausal osteoporosis.Methods Forty-six patients were randomly divided into the treatment group(27 cases) and the control group(29 cases).All patients in the two groups were treated with basal western routine therapy,including supplement of calcium,activated vitamin diphosphate,and estrogen.Patients in the treatment group were treated with additional therapy of acupuncture(acupuncture at Mingmen,Shenshu,Pishu,Baihui,Sanyinjiao,Zusanli and so on) and CTPD.All therapies were lasted for 4 weeks as one course of treatment.Two courses of treatment were considered as one observation period.The amelioration of symptom and sigh in all patients was observed after the treatment.Results The efficacy of the treatment group was significantly better than that of the control group.Conclusion Acupuncture combined with CTPD by oral administration is an effective therapy for the treatment of postmenopausal osteoporosis.