Wang Tong, Wu Zhong-Chao, Zhu Tian-Rong, Wang Wen-Yan
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Hospital of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Zhongguo Zhen Jiu. 2012 Aug;32(8):685-8.
To explore the mechanism on senile osteoporosis of kidney deficiency pattern in the prevention and treatment with acupuncture and Tuina therapy.
Sixty-four cases were randomized into an acupuncture and Tuina therapy group (group A, 34 cases) and a calcium carbonate group (group B, 30 cases). In group A, the patients were treated with acupuncture at the distal acupoints and Tuina therapy in the local area. Acupuncture was applied to bilateral Weizhong (BL 40) and Taixi (KI 3). Tuina therapy was given in the lumbar region. Totally 30 treatments were required. In group B, the Calcium Carbonate D3 were prescribed for oral administration, continuously for 12 weeks. The changes in lumbar curvature, lumbar lordosis index, sacral inclination angle, lumbosacral angle, L5 vertebral index and L3 vertebral index of lumbar biomechanical indices were observed and compared before and after treatment in two groups.
In group A, the lumbar lordosis index and sacral inclination angle were increased after treatment, indicating the statistical significant differences before and after treatment (P < 0.05, P < 0.01). The improvement of lumbar lordosis index in group A was superior to that in group B [(19.59 +/- 19.16)mm vs (14.47 +/- 13.28)mm, P < 0.05]. After treatment, in group B, L5 vertebral index was improved as compared with that before treatment (P < 0.05). It was required to have a study on the reasons of its lumbar morphological change.
The acupuncture and Tuina therapy regulate the lumbar biomechanical structure through the positive stress stimulation and reconstruct the mechanical equilibrium of the lumbar vertebra. It plays the active significance in the prevention and treatment of osteoporosis.
探讨针刺推拿疗法防治老年性肾虚型骨质疏松症的作用机制。
将64例患者随机分为针刺推拿治疗组（A组，34例）和碳酸钙组（B组，30例）。A组采用远端穴位针刺及局部推拿治疗。针刺双侧委中（BL 40）、太溪（KI 3），腰部进行推拿治疗，共治疗30次。B组口服碳酸钙D3，连续服用12周。观察并比较两组治疗前后腰椎曲度、腰椎前凸指数、骶骨倾斜角、腰骶角、L5椎体指数和L3椎体指数等腰椎生物力学指标的变化。
A组治疗后腰椎前凸指数及骶骨倾斜角增大，治疗前后差异有统计学意义（P < 0.05，P < 0.01）。A组腰椎前凸指数改善情况优于B组[（19.59±19.16）mm vs（14.47±13.28）mm，P < 0.05]。B组治疗后L5椎体指数较治疗前有所改善（P < 0.05），其腰椎形态变化原因有待进一步研究。
针刺推拿疗法通过正向应力刺激调节腰椎生物力学结构，重建腰椎力学平衡，对骨质疏松症的防治具有积极意义。
