(34.237.124.210) 您好!臺灣時間:2021/03/02 06:49
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:陳雅吟
研究生(外文):Chen, Ya-Yin
論文名稱:停經後婦女骨質疏鬆症與中醫腎虛證相關性之研究
論文名稱(外文):The association between postmenopausal osteoporosis and Kidney- vacuity syndrome in Chinese Medicine
指導教授:張恆鴻張恆鴻引用關係紀美智紀美智引用關係黃登源黃登源引用關係
指導教授(外文):Shyh-Tzong Ju Hscuh-Ching Chiang
學位類別:碩士
校院名稱:中國醫藥學院
系所名稱:中國醫學研究所
學門:醫藥衛生學門
學類:醫學學類
論文種類:學術論文
論文出版年:1997
畢業學年度:85
語文別:中文
論文頁數:51
中文關鍵詞:停經後骨質疏鬆症腎虛證
外文關鍵詞:postmenopausalosteoporosiskidney-vacuity syndrome
相關次數:
  • 被引用被引用:4
  • 點閱點閱:195
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:2
本研究之目的在探討停經後婦女罹患骨質疏鬆症與腎虛證之間的關係。對象為40歲至65歲停經後婦女,經由中國醫藥學院附設醫院中醫內科及彰化基督教醫院免疫風濕科門診篩選;總計觀察患者81例,平均年齡54.94歲,其中非骨質疏鬆症患者平均年齡54.0±4.8歲,骨質疏鬆症患者平均年齡58.9±5.9歲。骨質疏鬆症的診斷以骨質密度(以DEXA法測定)與正常年輕人的骨質密度平均數相差2.5個標準差確立;腎虛證的診斷則以辨證問卷方式加以記錄,依據大陸1986年全國中醫、中西醫結合第三次老年醫學會議制定之腎虛診斷標準而確立。
結果顯示:腎氣虛及腎陰虛患者得骨質疏鬆症的比例較高,分別為非腎氣虛及非腎陰虛患者的3.73倍及3.89倍,腎陽虛患者得骨質疏鬆症的比例與非腎陽虛患者則無顯著差異;腎氣陰兩虛患者得骨質疏鬆症的比例又高於單純的腎氣虛或腎陰虛患者。
另外,以DH分層法,算出最佳分層年齡為54歲,以此年齡分層與腎氣虛或腎陰虛作為解釋變數,跟骨質疏鬆症作Logistic regression,顯示在固定年齡層時腎氣虛及腎陰虛患者得骨質疏鬆症的機率仍高於非腎氣虛及非腎陰虛患者。
本項研究顯示︰腎虛證與停經後婦女骨質疏鬆症有關,而腎氣陰兩虛患者較單純腎氣虛、腎陰虛患者容易罹患骨質疏鬆症。
The aim of this study was to evaluate the association between postmenopausal osteoporosis and kidney-vacuity syndrome. Eighty- one postmenopausal females were enrolled and their age were within 40 to 65 years. Bone density examination was performed by DEXA technique and received questionnaire. The diagnosis of osteoporosis was made by 2.5 standard deviation below the bone density of the youth. Kidney-vacuity syndrome was deduced according to the diagnostic criteria developed in National Congress on Chinese Medicine and Sino-Western Combined Geriatric Medicine held in Mainland China in 1986. The mean age of non- osteoporosis group was 54.0±4.8 years old and the osteoporosis group was 58.9±5.9 years old.
The results showed that the patients with kidney-qi-vacuity and kidney-yin-vacuity were more likely to have osteoporosis than those who were not.
There was no significant difference between kidney-yang-vacuity group and non-kidney-yang-vacuity group in their rates of osteoporosis. Also the group with kidney-qi-yin-vacuity had higher probability to get osteoporosis than those kidney-qi-vacuity or kidney-yin- vacuity. By logistic regression analysis the patients with kidney-qi-vacuity or kidney-yin-vacuity were more likely to get osteoporosis than those with non-kidney-qi-vacuity or non- kidney-yin-vacuity.
In conclusion, there were marked association between kidney-vacuity syndrome and postmenopausal osteoporosis. Patients with kidney-qi-yin-vacuity syndrome were more likely to get osteoporosis than those with kidney-qi- vacuity syndrome or kidney-yin-vacuity syndrome.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔