文献类型：期刊文献

中文题名：原发性甲状旁腺功能亢进性骨质疏松症的中医病机及防治思路

英文题名：Primary pathogenesis and the prevention and treatment strategy of hyperparathyroidism osteoporosis in Chinese medicine

作者：张杰[1];董万涛[2];巩彦龙[1];赵张凯[1];王剑虹[1];常茹梦[1]

第一作者：张杰

机构：[1]甘肃中医药大学,甘肃兰州730000;[2]甘肃中医药大学附属医院,甘肃兰州730000

第一机构：甘肃中医药大学

年份：2022

卷号：28

期号：1

起止页码：134

中文期刊名：中国骨质疏松杂志

外文期刊名：Chinese Journal of Osteoporosis

收录：CSTPCD;;北大核心:【北大核心2020】；CSCD:【CSCD2021_2022】；

基金：甘肃省创新基地和人才计划-自然科学基金计划项目(17JR5RA056,1506RJZA048);甘肃省中医药防治慢性疾病重点实验室开放基金项目(GSMBKY2015-07)。

语种：中文

中文关键词：原发性甲状旁腺功能亢进性骨质疏松;中医药;防治思路

外文关键词：primary hyperparathyroidism osteoporosis;traditional Chinese medicine;prevention and treatment strategy

摘要：原发性甲状旁腺功能亢进症是引起骨质疏松症的较常见病因,原发性甲状旁腺功能亢进症是由一个或多个甲状旁腺病理性(肿瘤或增生)过量分泌甲状旁腺激素所造成。随着血钙测定和甲状旁腺素测定在临床上的广泛运用,甲状旁腺功能亢进性骨质疏松的患病率也随之上升,目前我国原发性甲状旁腺功能亢进症多为骨型和肾型。治疗方面,主要以手术治疗和药物治疗为主,术后并发症也呈逐年上升趋势,西药治疗虽能增加其骨密度但并不能降低骨折风险,为提高临床疗效,治疗上应当在中医药“整体观念,辨证论治”诊疗体系下遵循“消瘿散结,兼顾补脾益肾”为基本治疗原则。现从原发性甲状旁腺功能亢进性骨质疏松的病因病机、辨证论治等方面提供新的诊疗思路。
Primary hyperparathyroidism is a common cause of osteoporosis.Primary hyperparathyroidism is caused by excessive secretion of parathyroid hormone from one or more parathyroid glands.With the widespread use of blood calcium measurement and parathyroid hormone measurement in clinical practice,the incidence of hyperparathyroidism osteoporosis has also increased.At present,the common types of primary hyperparathyroidism in our country are bone-type and kidney type.In treatment,surgical treatment and medical treatment are the main treatment.Postoperative complications are also increasing year by year.Although Western medicine can increase the bone mineral density,it can not reduce the risk of fracture.In order to improve the clinical efficacy,we should follow the integrating concept and basic treatment principle of eliminating stagnation and resolving stagnation,and tonifying the spleen and kidney.Now we provide new diagnosis and treatment ideas from the etiology,pathogenesis,and syndrome differentiation for the treatment of primary hyperparathyroidism osteoporosis.