中医“治未病”在社区骨质疏松症防治中的疗效观察.docVIP

中医“治未病”在社区骨质疏松症防治中的疗效观察 　　摘 要 目的：探索中医“治未病”在社区应用于骨质疏松症患者的效果。方法：在社区分别选择骨质疏松高危人群103例，再分成A组52例和B组51例；骨质疏松患者102例，再分成A组和B组各51例。A组在常规西医治疗基础上，根据证型分别用相应的中医法干预，B组为常规治疗组。检测干预前后患者的骨密度和中医证候积分，并进行组间比较。结果：骨质疏松高危人群和骨质疏松患者两组中，A组干预后的骨密度T值均较干预前明显增加（P0.05），与B组干预后相比差异均有统计学意义（P0.05）。中医证候积分A组干预后比干预前减少，差异均有统计学意义（P0.01），与B组干预后比较差异亦均有统计学意义（P0.01）。结论：中医“治未病”在社区防治骨质疏松症有较好效果，值得推广。 　　关键词 骨质疏松症 治未病 疾病预防 　　中图分类号：R587.1 文献标识码：A 文章编号：1006-1533（2014）16-0030-04 　　Observation on the therapeutic effect of “treating potential diseases” of the traditional Chinese medicine in prevention and treatment of osteoporosis in the community 　　LI Wenhua1， CHU Jue1， SHEN Wenbo1， ZHOU Qin2 　　（ 1. Beizhan Community Health Service Center of Zhabei District， Shanghai 200071， China； 2. Public Health College of Fudan University， Shanghai 200032， China） 　　ABSTRACT Objective： To explore the effect of the application of “treating potential diseases” of the traditional Chinese medicine for the patients with osteoporosis in the community. Methods： One hundred and five cases of patients with osteoporosis in high risk were selected and divided into group A with 52 cases and group B with 51 ones， and one hundred and two patients with osteoporosis were divided into groups A and B with 51 cases each. The group A was intervened with the appropriate method of traditional Chinese medicine according to the syndromes based on the conventional Western medicine treatment. The group B received a conventional treatment. The osteoporosis and the scores of the traditional Chinese medical syndrome of the patients were detected and compared before and after intervention between the groups. Results： T values of osteoporosis in two group A increased more obviously after intervention than before intervention （P0.05）， and as compared with the ones in two group B after intervention， the difference had the statistical significance （P0.05）. The scores of the traditional Chinese medical syndrome in two group A reduced after intervention than