目的 观察绝经女性脾阳虚型与肝肾阴虚型骨质疏松症在骨密度表现中的差异.方法 选择符合诊断标准、纳入标准及排除标准的脾阳虚型与肝肾阴虚型骨质疏松症患者各60例,观察患者的体质量指数、腰椎骨密度、髋部骨密度进行对比及统计学分析.结果 脾阳虚型骨质疏松症患者腰部骨密度较肝肾阴虚型患者腰部骨密度值低,差异具有统计学意义.结论 由于脾胃运化功能减弱,影响水谷精微的吸收分布,进而导致气血不足,从而加重了骨质疏松的进展.因此在日后的中医诊疗骨质疏松症中,应注意固护脾胃之气.%Objective To observe the differences between the spleen yang deficiency type and liver and kidney yin deficiency type in postmenopausal women osteoporosis in bone density. Methods 60 patients who conforms to the diagnostic criteria, inclusion criteria and exclusion criteria of spleen yang deficiency and liver and kidney yin deficiency type were chosen. The body mass index, density and hip bone mineral density of patients were observed, compared and analyzed. Results the spleen yang deficiency type of osteoporosis in patients with lumbar bone mineral density was lower than those of patients with liver and kidney yin deficiency type. This comparison was statistically significant. Conclusion The spleen and stomach function weakened could cause food malabsorption and deficiency of qi and blood, which could increase the progress of osteoporosis. So, we should pay attention to protect the spleen and stomach qi in TCM diagnosis and treatment of osteoporosis in the future.
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