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[目的]观察壮骨片联合脉冲电磁场治疗老年骨质疏松症疗效。[方法]使用随机平行对照方法,将50例住院患者按就诊顺序编号法简单随机分为两组。对照组25例鲑鱼降钙素50IU/次,1次/d,肌注。治疗组25例壮骨片(鹿茸、人参、当归、生地、补骨脂、续断、白术、山茱萸、枸杞子、鹿角霜、制首乌、三七、地龙、煅牡蛎等),4片/次,2次/d;脉冲电磁场治疗,磁场强度6~8档,频率8~12Hz,变频方式:40min/次,1次/d。连续治疗3个月为1疗程。观测临床症状、腰椎骨密度、不良反应。治疗1疗程,判定疗效。[结果]治疗组完全缓解5例,部分缓解16例,轻度缓解3例,无效1例,总有效率84.00%;对照组完全缓解1例,部分缓解7例,轻度缓解14例,无效3例,总有效率32.00%;治疗组疗效优于对照组(P<0.05)。腰椎骨密度两组均有改善(P<0.01);治疗组改善优于对照组(P<0.01)。[结论]壮骨片联合脉冲电磁场治疗老年骨质疏松症,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of Zhuanggu tablets combined with pulsed electromagnetic fields in the treatment of senile osteoporosis. [Methods] Using randomized parallel control method, 50 inpatients were randomly divided into two groups according to the sequence numbering method. Control group, 25 cases of salmon calcitonin 50IU / time, 1 times / d, intramuscular injection. The treatment group 25 cases Zhuanggu tablets (antler, ginseng, angelica, habitat, psoralen, dipsacula, Atractylodes, dogwood, medlar, antler cream, Shouwu, notoginseng, earthworm, calcined oysters, etc.), 4 / Times, 2 times / d; pulsed electromagnetic field treatment, magnetic field intensity of 6 to 8 files, the frequency of 8 ~ 12Hz, frequency conversion: 40min / time, 1 time / d. Continuous treatment of 3 months for a course of treatment. Observation of clinical symptoms, lumbar spine bone mineral density, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group completely relieved 5 cases, partial remission in 16 cases, mild remission in 3 cases, ineffective in 1 case, the total effective rate was 84.00%; control group, complete remission in 1 case, partial remission in 7 cases, mild remission in 14 cases, ineffective 3 cases, the total efficiency of 32.00%; treatment group than the control group (P <0.05). Lumbar BMD improved in both groups (P <0.01); treatment group improved better than the control group (P <0.01). [Conclusion] Zhuanggu tablets combined with pulsed electromagnetic fields in the treatment of senile osteoporosis, with satisfactory curative effect and no serious adverse reactions, should be popularized.