五種常見疾病中醫證型診斷基準研究(3-1)-停經後婦女骨質疏鬆症主要證型診斷基準之研究

馮曄
長庚紀念醫
骨質減少( osteopenia )、 骨質疏鬆症( osteoporosis )是台灣於民國八十二年底邁入高齡化社會後常見的健康問題。而婦女在停經後，骨頭的代謝率會變快，加速骨質快速流失，更是骨質缺乏、骨質疏鬆症的高危險群。傳統中醫理論認為「腎主骨」，年老腎衰應與骨質之衰減有密切關係。雖已有關研究成果更顯示經中醫辨證屬腎氣虛、腎陰虛的停經後婦女有較高的骨質疏鬆症罹患率，但停經後婦女骨質疏鬆症的中醫腎虛證診斷標準並未建立。
本項研究即以40歲至65歲停經後婦女為對象，經過適當排除其他導致骨質變化之病因後，以DEXA (dialenergy x-ray absorptiometry)篩選骨密度低於正常人2.5個標準差者，納入為研究對象，並進行中醫四診診察資料之蒐集，試圖建立停經後婦女骨質疏鬆症的中醫腎虛證診斷標準，以期作為臨床治療研究的根基。
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『The study of diagnostic standards of Chinese medical patterns on five diseases (3-1)-The diagnostic criteria for kidney vacuity patterns of postmenopausal osteoporosis』

Feng Ye
Chang Gung Memorial Hospital
Having been classified as an aging society since 1999, Taiwan has the commonly observed health problems of osteopenia and osteoporosis. Women in whom metabolism accelerates and bone loss speeds up after menopause face a high risk of ostepenia and osteoporis. According to the traditional Chinese medical understanding, ``the kidney governs the bones,’’ and debilitation of the kidney in old age is associated with weakening of the bones. Although research findings show that post-menopausal woman diagnosed as having ``kidney qi vacuity’’ or ``kidney yin vacuity’’ have a high incidence of osteoporosis, the diagnostic criteria for kidney vacuity osteoporosis post-menopausal in females have not yet been established.
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