补肾壮骨汤治疗糖尿病性骨质疏松症的临床效果.docVIP

补肾壮骨汤治疗糖尿病性骨质疏松症的临床效果 　　[摘要] 目的 ?^察补肾壮骨汤治疗糖尿病性骨质疏松症的临床效果。 方法 选取2015年10月～2017年1月在宝鸡市中医医院就诊的82例糖尿病性骨质疏松症患者作为观察对象，采用随机数字表法将其分成观察组和对照组，每组41例。两组患者均给予常规基础治疗，对照组在常规基础治疗的基础上给予维生素D钙咀嚼片和依降钙素注射液，观察组在对照组的基础上联合补肾壮骨汤治疗。两组均以4周为1个疗程，连续3个疗程后观察两组临床疗效，检测两组治疗前后血糖、糖化血红蛋白、骨密度和血清钙、磷水平的数据，记录不良反应。 结果 观察组总有效率为95.1%，明显高于对照组（82.9%），差异有统计学意义（P 0.05），两组治疗后比较差异亦无统计学意义（P 0.05）。两组患者治疗过程中均无明显不良反应。 结论 在西医治疗的基础上联合补肾壮骨方能明显改善糖尿病性骨质疏松症患者的临床症状，增加骨密度，控制血糖，同时安全性较好，值得临床推广应用。 　　[关键词] 补肾壮骨汤；糖尿病性骨质疏松症；临床效果 　　[中图分类号] R259.872；R587.1 [文献标识码] A [文章编号] 1673-7210（2017）12（a）-0094-04 　　[Abstract] Objective To observe the clinical effect of Bushen Zhuanggu Decoction in the treatment of diabetic ostecporosis. Methods Eighty-two cases of patients with diabetic ostecporosis treated in Baoji Hospital of Traditional Chinese Medicine from October 2015 to January 2017 were selected as research objects， and they were divided into observation group and control group by random number table method， with 41 cases in each group. Both groups were given conventional basic therapy， on basis of conventional basic therapy， the control group was given Calcium Supplement with Vitamin D Chewable Tablets and Elcatonin Injection. On basis of control group， the observation group was added with Bushen Zhuanggu Decoction. Both groups were taken 4 weeks as a course， after 3 courses of treatment， the clinical effects were observed， the blood glucose， glycosylated hemoglobin， bone mineral density and serum calcium， phosphorus of the two groups before and after treatment were detected， the adverse reactions were recorded. Results The total effective rate of observation group was 95.1%， which was higher than that of control group （82.9%）， the difference was statistically significant （P 0.05）， and the differences between the two groups after treatment were also not statistically significant （P 0.05）. During treatment， there were no obvious adverse reactions in the two groups. Conclusion On basis of western medicine， Bushen Zhuanggu Decoction