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骨质疏松症的中西医治疗概述与比较。

Overview and Comparison of Chinese and Western Medical Treatments for Osteoporosis.

出版信息

Altern Ther Health Med. 2024 Jun;30(6):170-180.

Abstract

OBJECTIVE

Traditional Chinese medicine (TCM) can achieve similar effects to Western medicine in increasing bone mineral density, improving the destruction of bone micro-structure, inhibiting bone resorption, etc. However, there exist great differences between TCM and Western medicine in terms of theoretical basis and treatment methods. Therefore, to gain insights into their differences in treating osteoporosis (OP), we compared the disease name, etiology, pathogenesis, and clinical effectiveness to explore the potential benefits of combining the two approaches.

METHODS OVERVIEW

The method of literature review is used in the study. We firstly use academic databases such as PubMed and CNKI to search relevant literature on the understanding of OP in TCM and Western medicine in the past 10 years, then exclude the literature that is not relevant to the study topic or does not meet the study purpose, and finally compare and summarize the findings, views and conclusions of the literature.

KEY FINDINGS OR INSIGHTS

In the study, we find that the integrated approach of TCM and Western medicine can provide a gentler and more individualized treatment for patients with OP. By combining the conditioning means of Chinese herbs, compound prescription, acupuncture, moxibustion and Tuina can make up for the adverse reactions and side effects of Western medicine. Besides, TCM can make use of the clinical trials and animal experiments of Western medicine to prove the effectiveness of TCM theories and promote the clinical application.

PRACTICAL IMPLICATIONS

By exploring the differences between TCM and Western medicine and the potential benefits of their combination, this study can provide a theoretical basis for the individualized treatment of OP. Especially for the patients with postmenopausal OP, senile OP, long-term hormone use, hyperthyroidism and other secondary OP, this study can provide a more comprehensive rehabilitation guidance, prevent the recurrence of these diseases, and improve the quality of patients' life.

RECOMMENDATIONS OR FUTURE DIRECTIONS

It is suggested that further clinical trials should be conducted to evaluate the effectiveness of the integrated treatment.

摘要

目的

中医在增加骨密度、改善骨微结构破坏、抑制骨吸收等方面可以达到与西医相似的效果。但中医与西医在理论基础和治疗方法上存在较大差异。因此,为了深入了解两者在治疗骨质疏松症(OP)方面的差异,我们比较了疾病名称、病因、发病机制和临床疗效,以探讨两者结合的潜在益处。

方法概述

本研究采用文献综述的方法。我们首先使用 PubMed 和 CNKI 等学术数据库检索过去 10 年中医和西医对 OP 的认识相关文献,然后排除与研究主题无关或不符合研究目的的文献,最后对文献的发现、观点和结论进行比较和总结。

主要发现或观点

在研究中,我们发现中医与西医相结合的方法可以为 OP 患者提供更温和、更个体化的治疗。通过结合中药调理、复方方剂、针灸、艾灸和推拿等手段,可以弥补西药的不良反应和副作用。此外,中医可以利用西医的临床试验和动物实验来证明中医理论的有效性,促进中医的临床应用。

实际意义

通过探讨中医与西医的差异及两者结合的潜在益处,本研究可为 OP 的个体化治疗提供理论依据。特别是对于绝经后 OP、老年性 OP、长期激素使用、甲状腺功能亢进等继发性 OP 的患者,本研究可以提供更全面的康复指导,预防这些疾病的复发,提高患者的生活质量。

建议或未来方向

建议进一步开展临床试验,以评估综合治疗的有效性。

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