硕士论文--电针治疗肝肾不足型绝经后骨质疏松症的临床观察.docx

硕士学位论文论文题目（中文人电针治疗肝肾不足型绝经后骨质疏松症的临床观察论文题目（英文）：Clinical Observation on Electro-Acupuncture inTreatment of Postmenopausal Osteoporosis with Liver and KidneyDeficiency专业名称：针灸推拿学中文摘要 IVAbstract V前言 1临床资料 31. 病例收集 32. 诊断标准 32.1西医诊断标准 32.2中医诊断标准 33. 纳入标准 34. 排除标准 45•脱落和剔除标准 46. 分组方法 47. 治疗方法 4&观察扌旨标 59. 临床疗效评定 610. 统计方法 6结果 71 •一般临床资料比较 72. 观察指标比较 72.1两组骨质疏松症状评分比较分析 72.2两组治疗前后总评分比较分析 82.3 两组治疗前后BMD比较分析 93. 两组疗程结束后总疗效比较 104. 安全性指标分析 10讨论 111 •现代医学对PMOP的认识 111.1 PMOP的病因及发病机制 111.2 西医治疗PMOP概况 122. 祖国医学对PMOP认识 132.1中医证型与辨证 142.2 中医治疗概况 143. 电针治疗PMOP讨论 153.1 选穴依据 153.2 电针选择依据 163.3观察指标选择依据 163.4 药物选择依据 174. 疗效分析 174.1疗程结束后临床症状评分分析 174.2 疗程结束后骨密度变化分析 175. 存在问题及展望 18结论 19参考文献 20附录 23文献综述 25中文摘要目的：观察电针治疗肝肾不足型绝经后骨质疏松症的临床疗效，探寻更加有效的 防治肝肾不足型绝经后骨质疏松的方法。

方法：选择符合纳入标准及排除标准的肝肾不足型绝经后骨质疏松症患者66例， 按其就诊顺序随机分为治疗组（电针组）与对照组（口服药物组）各33例治疗组： 取穴大杼（双侧）、肾俞（双侧）、足三里（双侧），同侧大杼和肾俞各接一组输出导线， 两侧足三里接一组输岀导线，采用2Hz疏密波，隔天1次，每次30分钟，三个月为一 疗程，连续治疗2个疗程对照组：给予口服碳酸钙D3片（钙尔奇）治疗，每次1片， 早晚各1次，连续服用6个月治疗前后对患者相应临床症状进行评分及骨密度的测 定，观察两组患者临床症状改善的效果及骨密度变化情况，通过SPSS18.0统计软件对 收集整理后的资料进行统计分析和比较结果：（1）治疗结束时，电针组与药物组治疗肝肾不足型绝经后骨质疏松的总有 效率分别为86.67%和80.64%,两组有效率比较差异有统计学意义（PV0.05）,且在愈 显率方面，电针组明显高于药物组2）两组患者的临床症状评分均出现不同程度下降, 其中尤以电针组下降更为明显（PV0.05）,在对腰背疼痛、腰膝酸软症状的改善上，电 针组要优于药物组3）治疗结束后，电针组和药物组治疗后骨密度与治疗前相比，骨 密度均值均有不同程度的增加，提示总体骨量未下降，有增加的趋势，但差异无统计学 意义（P>0.05）。

两组治疗后左股骨Neck和腰椎骨密度与治疗前相比，均无显著性差 异（P>0.05）且各组骨密度平均值增加幅度较低，尚未达到正常骨密度水平结论：电针治疗肝肾不足型绝经后骨质疏松是有效的，H能有效改善患者的临床症 状，提高患者的生存质量，延缓了骨量减少的的进程，具有补肾强筋健骨的作用，是防 治绝经后骨质疏松症（肝肾不足型）的有效方法之一关键词：电针，绝经后，骨质疏松，临床观察AbstractObjective:To observe the clinical effect of electro acupuncture in treating postmenopausal osteoporosis of liver and kidney deficiency type, and to explore more effective methods to prevent and cure postmenopausal osteoporosis.Research methods:In order to meet the inclusion criteria and exclusion criteria of liver and kidney deficiency type 66 cases of postmenopausal osteoporosis, according to the order of treatment were randomly divided into treatment group (EA group) and control group (oral drug group) each of 33 cases. The treatment group: acupoints Dazhu (double), Shenshu (double). Zusanli (double), ipsilateral Dazhu and Shenshu group respectively connected with a wire output, both sides of Zusanli with a group of output wires, using 2Hz density wave, the next day 1, every 30 minutes, three months for a course of treatment, continuous treatment of 2 courses.The control group was given oral calcium carbonate D3 tablets (Caltrate treatment) 1 tablets each time, 1 times each morning and evening, and even served to take 6 months.Before and after treatment in patients with clinical symptoms score and bone density were measured, and the effect of the changes of bone mineral density of two groups of patients with clinical symptoms improved, through the SPSS18.0 statistical software for statistical analysis and comparison of the collected data.Results:(1) At the end of treatment, electro-acupuncture group and drug group in the treatment of liver and kidney deficiency type osteoporosis after the total efficiency were 86.67% and 80.64%, the two groups were statistically significant efficiency difference (P<0.05), and in the curative rate, the electroacupuncture group was significantly higher than that of the drug group.(2)Two groups of patients with clinical the symptom scores were all declined, especially in the EA group significantly decreased (P<0.05), in the low back pain, Yaoxisuanruan symptoms improved, electroacupuncture group is better than the drug group. (3) after treatment, electro-acupuncture group and medicine group after the treatment of bone mineral density compared with before treatment, bone the average density increased, suggesting that the overall bone was not decreased, increased, but the difference was not statistically significant (P>0.05). The two group after treatment, the Neck of the left femur and lumbar bone mineral density compared with before treatment, there was no significant difference (P>0.05). But each bone mineral density average The increase in value is lower, and the level of normal bone density has not yet been reached・Conclusion：Electro-acupuncture in the treatment of liver and kidney deficiency type postmenopausal osteoporosis is effective and can effectively improve the patients clinical symptoms, improve the quality of life of patients, delaying the osteopenia of the process, with tonifying kidney, strengthening tendons and bones of the role, is of the prevention and treatment of postmenopausal osteoporosis (liver and kidney deficiency).Key Words： Electro acupuncture, Postmenopausal, Osteoporosis, Clinical observation本文中使用的缩略词英文缩写英文全称中文全称0Posteoporosis骨质疏松症PMOPpostmenopausal osteoporosis绝经后骨质疏松症BMDbone mass density骨矿密度DEXADual Energy X-ray Absorptiometry双能X线吸收测量法PTHparathyroid honnone甲状旁腺素CTcalcitonin降钙素ILInterleukin白细胞介素TNFtu。