远针近推疗法对老年性骨质疏松症骨代谢生化指标的影响

目的:比较远针近推疗法与口服碳酸钙D3片对老年性骨质疏松症患者骨代谢生化指标影响的效应差异,探寻治疗骨质疏松症的较佳疗法。方法:将64例患者随机分为针推组和碳酸钙组。碳酸钙组(30例)口服碳酸钙D3片,连续服用12周。针推组(34例)采用"远针近推"疗法,即针刺患者双侧下肢委中、太溪穴,同时在患者腰部进行推拿治疗,共治疗30次。分别观察和比较两组治疗前后骨代谢生化指标血钙、血磷(P)、碱性磷酸酶(ALP)、骨钙素(BGP)、尿脱氧吡啶酚(DPD)的变化。结果:两组治疗后均血P降低、BGP升高、DPD降低,治疗前后差异均有统计学意义(P<0.05,P<0.01),但是上述指标组间尚未表现出统计学差异。结论:口服钙制剂和"远针近推"疗法均能有效改善老年性骨质疏松症患者的骨代谢生化指标,对骨质疏松的防治有积极意义,但尚不足以证明上述哪种疗法对于保钙更优。

Observation on influence of bone metabolism biochemical indices of senile osteoporosis treated with distant acupuncture and nearby tuina

Objective To observe the influence of bone metabolism biochemical indices of senile osteoporosis treated with distant acupuncture and nearby tuina,and to probe the better therapy for senile osteoporosis.Methods Sixty-four cases were randomly divided into an observation group and a control group.In control group(30 cases),Calcium Carbonate D3 Tablet was orally taken for 12 weeks continuously.In observation group(34 cases),"distant acupuncture and nearby tuina" therapy were applied,that was puncture at Weizhong(BL 40) and Taixi(KI 3),and tuina therapy on lumber region,30 times treatment was applied totally.The changes of blood calcium(Ca),phosphorus(P),ALP,BGP and urine DPD in bone metabolism biochemical indices were observed and compared before and after treatment in two groups.Results There were significant differences in P,BGP,DPD in bone metabolism biochemical indices in both groups before and after treatment(P<0.05,P<0.01),the contents of blood P decreased,blood BGP increased and urine DPD decreased.But,there were no significant differences in above indices between two groups.Conclusion The calcium with oral administration and "distant acupuncture and nearby tuina" therapy can effectively improve the bone metabolism biochemical indices of senile osteoporosis,and they have positive significance in prevention of osteoporosis,however,it hasn’t proved that which method is better for calcium protecting.