| [Objective]Understand the characteristics of the lumbar and femoral bone’s mineral density(BMD) in the middle aged and elderly people, analyze the possiblely change rule, to guide the prevention and therapy, Preliminary discussion on the TCM syndrome type distribution of primary osteoporosis, joint bone density index at the same time,try to find the corresponding rule between the two factors,and do some exploration on the way of combinning the TCM and western medicine of the disease.[methods]Form May2013to January2014,at the BMD examination room of chengdu university of traditional Chinese medicine’s hospital,500detection cases of hospitalized patients, make lumbar spine and femoral bone mineral density test.Collect the general contents and medical history data through the questionnaire, according to the diagnostic criteria of traditional Chinese medicine dialectical, complete the type statistics and eliminating, then row of sieve sorting, statistical analysis.[results]①At the age of40or higherof the elderly,bone mineral densityage began to decline, each place had the greatest reduction between50-69years old, the femoral bone mineral density continues to decline after70years, the density of the lumbar decreased leveling off; After the80-year-old even higher than before. For men,at the age of40-69,bone mineral density of the femur decreased obviously, each part of the70-79age group bone mineral density increased; After the80-year-old,the bone mineral content of the femur continues to grow. For women, parts bone density after50age began to decline, ages50-69decreased obviously, after70-year-old femoral area continued to decline; At the age of80or higher,the bone mineral content of the femur increased; For postmenopausal women, Lumbar spine bone is the first that begas to decline,5to9years after menopause,some parts of the Lumbar’s density decreased obviously, the bone mineral density of each part of the10to25years after menopause decreased,25years after menopause decline leveling off; Lumbar increased. After40years old in the old, osteopenia incidence (OPA) is on the decline with age, incidence of osteoporosis (OP) is on the rise along with the age; For the elderly, OPA total rate is about24.5%, OPA total rate is about26.6%for men, women is23.5%; The elderly osteoporosis (OP) overall prevalence was70.3%, male OP total is49.1%,71.7%for women.②For primary osteoporosis, the liver and kidney Yin deficiency type is the most common; Single factor analysis of variance, F=0.829, P=0.48(>0.05), TCM syndrome type and has no statistical significance with the bone mineral density (BMD). The bone mineral density values between the different part of syndrome types, the distribution of no fixed rules; At the same time, in addition to blood stasis and qi stagnation syndrome, other types’bone mineral density increased gradually reduce along with the age; Kidney Yang deficiency syndrome of60-69age group had the greatest reduction; Liver and kidney Yin deficiency syndrome50to59,70-79age group age had the greatest reduction; The spleen kidney Yang deficiency syndrome,70-79age group had the greatest reduction. Then all the types have the syndrome of lumbar bone hyperplasia after the age of80.[conclusion]①The elderly bone mass increases gradually reduce along with the age, middle-aged and old OP prevalence increases with age and increased obviously, the attention to osteoporosis should begin from the age of50.②For postmenopausal women.the best intervention time for postmenopausal is0to10years.③Bone mass of large, lost after60years of age in older men should be active intervention.④The elderly after the70-year-old general have lumbar bone hyperplasia, hint at this stage in the femoral site for reference is better.⑤The treatment with primary osteoporosis should fill kidney and promoting blood.⑥Not simple as primary osteoporosis bone density measurement values of the basis of traditional Chinese medicine.⑦Blood stasis runs through the whole process of the whole primary osteoporosis. |
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