绝经后女性骨质疏松症中医辨证分型与检查指标的相关性研究
Correlation between TCM syndrome differentiation and examination indexes in postmenopausal women with osteoporosis
- 北京中医药 2023年42卷第7期 页码：799-802
- 作者机构：
1.苏州市中医医院骨伤科，苏州 215000
- 作者简介：
戴高乐，男，29岁，硕士，住院医师。研究方向：脊柱病、骨质疏松症等疾病的中医诊疗。
夏凯文，E-mail：lyw620511@163.com
- 基金信息：
DOI：10.16025/j.1674-1307.2023.07.026
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戴高乐，夏凯文.绝经后女性骨质疏松症中医辨证分型与检查指标的相关性研究［J］.北京中医药，2023，42（7）：799-802.
DAI Gao-le,XIA Kai-wen.Correlation between TCM syndrome differentiation and examination indexes in postmenopausal women with osteoporosis[J]. Beijing Journal of Traditional Chinese Medicine,2023,42(07):799-802.
戴高乐，夏凯文.绝经后女性骨质疏松症中医辨证分型与检查指标的相关性研究［J］.北京中医药，2023，42（7）：799-802. DOI： 10.16025/j.1674-1307.2023.07.026.
DAI Gao-le,XIA Kai-wen.Correlation between TCM syndrome differentiation and examination indexes in postmenopausal women with osteoporosis[J]. Beijing Journal of Traditional Chinese Medicine,2023,42(07):799-802. DOI： 10.16025/j.1674-1307.2023.07.026.
摘要
目的,2,探讨绝经后女性腰椎（L,1,~L,4,）骨密度（BMD）与体质量指数（BMI）、血脂的关系，绝经后骨质疏松症（PMOP）不同中医分型与年龄、腰椎BMD、BMI的关系。,方法,2,选择2020年11月—2021年11月在苏州市中医医院住院的绝经后女性308例，收集其临床资料，测算腰椎BMD、BMI，检测血脂。,结果,2,校正了年龄因素后，腰椎BMD与BMI仍呈正相关（,r,=0.167，,P,=0.003）；校正了年龄、BMI后，腰椎BMD与TC、TG无相关性（,r,=0.087、,r,=0.054，,P,>,0.05）。多元逐步回归分析发现，BMI、年龄能进入回归模型，腰椎BMD与年龄、BMI存在相关性（,β,=-0.004、,β,=0.008，,P,<,0.01）。PMOP患者136例，其中肝肾阴虚证52例，脾肾阳虚证46例，肾虚血瘀证38例。3种证型年龄比较差异无统计学意义（,P,>,0.05）；3种证型BMI比较差异有统计学意义（,P,=0.027），脾肾阳虚证BMI高于肝肾阴虚证，差异有统计学意义（,P,=0.007）；3种证型BMD比较差异无统计学意义（,P,>,0.05），肝肾阴虚证BMD低于脾肾阳虚证，差异有统计学意义（,P,=0.04）。,结论,2,绝经后女性腰椎（L,1,~L,4,）BMD与BMI、TG相关，肝肾阴虚证PMOP患者腰椎（L,1,~L,4,）BMD低于脾肾阳虚证PMOP患者。
Abstract
关键词
绝经骨密度体质量指数血脂骨质疏松症中医辨证
Keywords
references
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