【摘要】 背景:颈椎病合并骨质疏松症在老年患者中的发病率较高,影响患者的生活质量。目的:观察补肾中成药骨疏康治疗老年颈椎病合并骨质疏松症的疗效。设计:以患者为研究对象的随机对照研究。单位:一所省级中医院骨科。对象:研究对象为2002-06/2003-12河南省中医院住院患者及部分门诊患者50例。方法:50例老年颈椎病合并骨质疏松症患者,随机分为治疗组30例,对照组20例。治疗组用骨疏康治疗,10g/次,2次/d;对照组用颈复康治疗,6g/次,2次/d,疗程均为6个月。主要观察指标:分别观测两组患者治疗前后临床症状改善情况,X射线表现、骨密度、血清钙磷变化情况。结果:两组均有治疗作用,有效率治疗组为93%,优于对照组(75%)(P<0.05),两组患者桡骨远端超声波传导速度SOS),治疗组治疗前后(分别为(3934±125),(3990±105)m/s,对照组分别为(3935±110),(3940±123)m/s,两组相比较,差异有显著性意义(P<0.05),对照组治疗前后SOS差异无显著性意义(P>0.05),两组患者治疗前后血清钙、磷均无明显差别(P>0.05)。结论:补肾中成药骨疏康对老年颈椎病合并骨质疏松症有良好疗效。更多还原

【Abstract】 BACKGROUND:The morbidity of cervical spondylosis complicated with osteoporosis is rather high in senile patients,which affects the life quality.OBJECTIVE:To observe the therapeutic effects of gushukang,the Chinese herbal patent for kidney tonification on senile cervical spondylosis complicated with osteoporosis.DESIGN:Random control study based on patients.SETTING:Orthopedics department in a provincial hospital of traditional Chinese medicine.PARTICIPANTS:Fifty cases of senile cervical spondylosis complicated with osteoporosis collected from the inpatients and outpatients in Henan Hospital of Traditional Chinese Medicine from June 2002 to December 2003.METHODS:Fifty cases of senile cervical spondylosis complicated with osteoporosis were randomized into experimental group(30 cases) and the control(20 cases).In experimental group,gushukang was prescribed,10 g/ time and twice a day.In the control,jingfukang was prescribed,6 g/time,twice per day.The course of treatment was 6 months.MAIN OUTCOME MEASURES:To observe the improvement of therapeutic effects,X ray manifestation,bone density, serum calcium and phosphorus before and after treatment in two groups.RESULTS:The therapeutic effects were obtained in both groups.The effective rate was 93% in treatment group,better than the control (75% )(P < 0.05).Concerning to remote ultrasonic conductive speed in radius(SOS),it was(3 934± 125) and(3 990± 105) m/s before and after treatment respectively in experimental group; and was(3 935± 110) and(3 940± 123) m/s in the control, indicating significant difference(P< 0.05). The difference in SOS before and after treatment in the control was not significant (P >0.05). There was no remarkable difference in serum calcium and phosphorus before and after treatment in two groups(P >0.05).CONCLUSION:Gushukang,Chinese herbal patent for kidney tonification,provides better therapeutic effects on senile cervical spondylosis complicated with osteoporosis.更多还原