维、汉族绝经后骨质疏松症体重指数、骨密度与中医证型分析

摘要

目的：探讨维吾尔族和汉族绝经后骨质疏松妇女中医证型间骨密度水平是否存在差异。方法2011年1月－2013年2月，选择在新疆地区长期居住的绝经后汉族和维吾尔族妇女、经骨密度检测和临床表现确诊为绝经后骨质疏松症患者为研究对象共计346例，分别测量身高、体质量，计算体质指数，进行腰椎正侧位骨密度检测。比较两组中医各证型间骨密度差异。结果维吾尔族与汉族绝经后骨质疏松妇女肾虚血瘀和非肾虚血瘀证型间年龄、体质指数、绝经年龄、生育数、骨密度值等差异均无统计学意义（P ＞0．05）；维吾尔族与汉族绝经后骨质疏松妇女肾虚血瘀和非肾虚血瘀4组证型间年龄、绝经年龄、生育数等差异均无统计学意义（P ＞0．05）；维吾尔族绝经后骨质疏松妇女4组证型间：脾肾两虚型与肾精亏虚型、肝肾阴虚型、肾虚血瘀型患者体质指数差异存在统计学意义（P ＜0．05）；汉族绝经后骨质疏松妇女4组证型间：肾精亏虚型与脾肾两虚型患者体质指数差异存在统计学意义（P ＜0．05）；肾精亏虚型与脾肾两虚型及肝肾阴虚型患者骨密度值差异存在统计学意义；而维吾尔族绝经后妇女四组证型间的骨密度值差异无统计学意义（P ＞0．05）。结论新疆维、汉绝经后骨质疏松症患者发病年龄、绝经年龄、生育数等一般情况无明显差异；维、汉族绝经后骨质疏松症患者各证型间体质指数及汉族绝经后骨质疏松症患者各证型间骨密度值均存在一定差异。%Objective To study the difference of bone mineral density in TCM syndrome types between Uy ‐ghurs and Han women with postmenopausal osteoporosis .Methods 346 Han and Uyghur patients with postmenopausal osteoporosis diagnosed and treated in Affiliated Traditional Chinese Medicine Hospital from January 2011 to February 2013 were enrolled as the research object .They were measured with height ,weight ,body mass index ,and bone mineral density in the positive and side of the lumbar .Res‐ults There was no statistical significance (P > 0 .05) in Uyghur and Han patients with postmenopausal os‐teoporosis in Kidney deficiency and blood stasis type and the Kidney and blood stasis type in terms of age , body mass index ,age of menopause ,birth number ,BMD value ;there was no significant difference (P >0 .05) in four groups of the Kidney deficiency and blood stasis type and the Kidney and blood stasis type be‐tween Uyghur and Han patients with postmenopausal osteoporosis in terms of age ,menopausal age ,birth number ;there was significant differences in body mass index (BMI) (P < 0 .05) in Uyghur patients with postmenopausal osteoporosis in terms of spleen kidney both deficiency type patients with kidney essence deficiency ,liver and kidney Yin deficiency ,kidney deficiency and blood stasis type ;There was significant statistical difference in body mass index (BMI) (P < 0 .05) in Han patients with postmenopausal osteopo‐rosis in terms of kidney essence deficiency type ,spleen and kidney both deficiency type ;The value differ‐ences in bone mineral density were statistically significant (P < 0 .05) in Han patients in Kidney essence deficiency type ,spleen kidney both deficiency type and liver and kidney deficiency type ;Density distribu‐tion differences of four groups of syndromes in Uyghur postmenopausal women had no statistical signifi‐cance (P > 0 .05) .Conclusion There were no obvious differences in Xinjiang Uyghur and Han patients with postmenopausal osteoporosis in terms of age ,menopausal age and birth number ,but with certain differences in postmenopausal osteoporosis patients in body mass index and the bone mineral density values within each TCM differentiation category .