中医药研究论丛

211.4 骨质疏松症中西医治疗进展
TJ TCM.21(1) : 43-50, 2018
骨质疏松症中西医治疗进展
Progress of Integrative Chinese and Western Medicine in Treating Osteoporosis
谢嘉娟1,2 陈旺全3,4*
1 国防医学院医学系,台北,台湾
2 三军总医院家庭暨社区医学部,台北,台湾
3 义守大学学士後中医学系,高雄,台湾
4 义大医院中医部,高雄,台湾
【摘要】
骨质疏松症是国人健康的重要议题,依据原因可分为原发性及次发性两类,中医学虽无骨质疏松症之病名,然而历代中医文献对骨病的描述与记载甚为丰富,有骨痿、骨痹、骨枯、骨缩等。骨质疏松症防治的目标在於减少骨松性骨折的发生。现代医学测量骨密度的黄金标准,是以双能量X 光吸收仪(dual-energy X-ray absorptiometry, DXA) 测腰椎或髋骨等中轴骨;骨松治疗包括非药物治疗与药物治疗,中西医各有所长,中西医相辅相成是未来的趋势,本研究将提示医护人员与民众对骨质疏松症的预防及重视,并作为整合医学发展时的叁考。
【关键词】骨质疏松症、骨密度、骨痿
Chia-Chuan Hsieh1,2 Wang-Chuan Chen3,4*
1School of Medicine, National Defense Medical Center, Taipei, Taiwan
2Department of Family and Community Medicine, Tri-Service General Hospital, Taipei, Taiwan
3School of Chinese Medicine for Post Baccalaureate, I-Shou University, Kaohsiung, Taiwan
4Department of Chinese Medicine, E-Da Hospital, Kaohsiung, Taiwan
【Summary】
Osteoporosis is one of the most important public health issues. Two categories of osteoporosis have been identified: primary and secondary. Though no disease was so-called “osteoporosis” in traditional Chinese medicine (TCM),ancient Chinese medical literature had descriptions or records on similar bone problem, such as atrophic debility of bones, withered bone, bone contraction, bone pain or numbness. The goal of prevention and management of osteoporosis is to reduce the risk of subsequent osteoporotic fractures. The gold-standard measurement of bone mineral density (BMD) in modern medical practice is dualenergy X-ray absorptiometry (DXA). Modern medical practice in osteoporosis include nonpharmacologic and pharmacologic management. Chinese and Western medicine possess their own strengths; complementary Chinese and Western medicine is the trend of the future. This study will prompt medical staff and the public on the prevention and attention of osteoporosis, and as a reference for the development of integrated medicine.
Keywordsosteoporosis, bone mineral density, atrophic debility of bones