绝经后骨质疏松症中医证型与握力的研究

目的 探讨绝经后骨质疏松症(postmenopausal osteoporosis,PMOP)患者中医证型与握力的关系.方法 选取2017年11月至2018年10月在济南各社区及山东中医药大学附属医院骨质疏松门诊纳入的绝经后骨质疏松症女性142例(骨质疏松组)、绝经后非骨质疏松症女性39例(非骨质疏松组).依照中医辨证...

Study on TCM syndromes and grip strength in postmenopausal osteoporosis

Objective To study the relationship between TCM syndromes and grip strength of postmenopausal osteoporosis (PMOP) patients. Methods Selected 142 cases of postmenopausal osteoporosis women (osteoporosis group) and 39 cases of postmenopausal non-osteoporosis women (non-osteoporosis group) included in Jinan communities and the osteoporosis clinics of our hospital from November 2017 to October 2018. According to the TCM syndrome differentiation, the patients in osteoporosis group were divided into three groups: Liver and kidney yin deficiency group, spleen and kidney yang deficiency group and kidney deficiency and blood stasis group, the general indicators of the subjects were collected. Study whether there is any difference in grip strength on the TCM syndromes of postmenopausal osteoporosis. Results The age and menopause years of the osteoporosis group were higher than those of the non-osteoporosis group (P<0.05). The height, weight, body mass index (BMI), grip strength and bone mineral density (BMD) of the osteoporosis group were lower than those of the non-osteoporosis group. The difference was statistically significant (P<0.05).There was no statistically significant difference in age, menopause years, height, and BMI among the three groups of TCM syndromes (P>0.05). The weight of liver and kidney yin deficiency group was greater than that of spleen and kidney yang deficiency group (P<0.05).The three groups which the grip strength from large to small were liver and kidney yin deficiency group, kidney deficiency and blood stasis group, spleen and kidney yang deficiency group, and the comparison among the three groups was statistically significant (P<0.05). Conclusion The spleen and kidney yang deficiency osteoporosis patients had lower grip strength. The effect of spleen and kidney on the muscle strength was of universal significance.