中醫藥研究論叢

211.4 骨質疏鬆症中西醫治療進展
TJ TCM.21(1) : 43-50, 2018
骨質疏鬆症中西醫治療進展
Progress of Integrative Chinese and Western Medicine in Treating Osteoporosis
謝嘉娟1,2 陳旺全3,4*
1 國防醫學院醫學系,台北,台灣
2 三軍總醫院家庭暨社區醫學部,台北,台灣
3 義守大學學士後中醫學系,高雄,台灣
4 義大醫院中醫部,高雄,台灣
【摘要】
骨質疏鬆症是國人健康的重要議題,依據原因可分為原發性及次發性兩類,中醫學雖無骨質疏鬆症之病名,然而歷代中醫文獻對骨病的描述與記載甚為豐富,有骨痿、骨痺、骨枯、骨縮等。骨質疏鬆症防治的目標在於減少骨鬆性骨折的發生。現代醫學測量骨密度的黃金標準,是以雙能量X 光吸收儀(dual-energy X-ray absorptiometry, DXA) 測腰椎或髖骨等中軸骨;骨鬆治療包括非藥物治療與藥物治療,中西醫各有所長,中西醫相輔相成是未來的趨勢,本研究將提示醫護人員與民眾對骨質疏鬆症的預防及重視,並作為整合醫學發展時的參考。
【關鍵詞】骨質疏鬆症、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