复方风湿(shi)宁治(zhi)疗骨质疏松症疼
内蒙古呼和(he)浩特(te)市中蒙医院 王建(jian)军
骨(gu)(gu)质(zhi)(zhi)(zhi)(zhi)疏(shu)松(song)症(zheng)(zheng)是(shi)一(yi)种(zhong)全(quan)(quan)身骨(gu)(gu)量减少及骨(gu)(gu)组织结构受损，致使骨(gu)(gu)的(de)(de)脆(cui)(cui)性(xing)(xing)增(zeng)加和(he)容易(yi)发生骨(gu)(gu)折的(de)(de)一(yi)种(zhong)全(quan)(quan)身性(xing)(xing)骨(gu)(gu)骼疾病(bing)。以腰背部(bu)(bu)疼(teng)(teng)(teng)痛(tong)最为(wei)多见，骨(gu)(gu)盆、髋部(bu)(bu)、臀部(bu)(bu)、骶尾部(bu)(bu)、膝踝(huai)部(bu)(bu)等也可出现，较重(zhong)的(de)(de)患者还(hai)会(hui)出现全(quan)(quan)身疼(teng)(teng)(teng)痛(tong)。初起(qi)(qi)时呈间歇(xie)性(xing)(xing)疼(teng)(teng)(teng)痛(tong)，以后(hou)随(sui)着骨(gu)(gu)质(zhi)(zhi)(zhi)(zhi)疏(shu)松(song)症(zheng)(zheng)的(de)(de)发展加重(zhong)为(wei)持续性(xing)(xing)疼(teng)(teng)(teng)痛(tong)，有(you)(you)昼轻夜(ye)重(zhong)的(de)(de)特点。骨(gu)(gu)质(zhi)(zhi)(zhi)(zhi)变薄变脆(cui)(cui)后(hou)骨(gu)(gu)承(cheng)压(ya)(ya)力(li)下降引骨(gu)(gu)内压(ya)(ya)增(zeng)高，并且骨(gu)(gu)膜受力(li)增(zeng)加，影响到骨(gu)(gu)、骨(gu)(gu)膜微循(xun)环，产生瘀(yu)血(xue)引起(qi)(qi)疼(teng)(teng)(teng)痛(tong)。骨(gu)(gu)质(zhi)(zhi)(zhi)(zhi)疏(shu)松(song)症(zheng)(zheng)是(shi)老年(nian)人的(de)(de)一(yi)种(zhong)常见病(bing)，治(zhi)疗骨(gu)(gu)质(zhi)(zhi)(zhi)(zhi)疏(shu)松(song)性(xing)(xing)症(zheng)(zheng)疼(teng)(teng)(teng)痛(tong)还(hai)没有(you)(you)一(yi)个成熟的(de)(de)药(yao)(yao)物，急性(xing)(xing)的(de)(de)疼(teng)(teng)(teng)痛(tong)主要(yao)靠消炎止痛(tong)药(yao)(yao)物对(dui)症(zheng)(zheng)治(zhi)疗，慢(man)性(xing)(xing)的(de)(de)疼(teng)(teng)(teng)痛(tong)主要(yao)靠补(bu)钙、和(he)抗骨(gu)(gu)质(zhi)(zhi)(zhi)(zhi)疏(shu)松(song)药(yao)(yao)物治(zhi)疗，但起(qi)(qi)效均(jun)较慢(man)，不能(neng)快速有(you)(you)效解(jie)决病(bing)人的(de)(de)痛(tong)苦。
骨(gu)(gu)质(zhi)疏(shu)松症(zheng)疼(teng)(teng)(teng)痛(tong)(tong)，从(cong)(cong)中(zhong)医(yi)学(xue)论(lun)(lun)述相(xiang)当于(yu)“骨(gu)(gu)痹(bi)”症(zheng)，可(ke)(ke)以按“痹(bi)”病(bing)论(lun)(lun)治(zhi)。在(zai)2005年我从(cong)(cong)《健康报(bao)》了解到(dao)罗浮山复方(fang)(fang)风湿(shi)宁(ning)，并开始在(zai)临(lin)床上应用于(yu)治(zhi)疗(liao)风湿(shi)、类风湿(shi)等疾病(bing)，从(cong)(cong)临(lin)床应用观察来看罗浮山复方(fang)(fang)风湿(shi)宁(ning)治(zhi)疗(liao)“痹(bi)”病(bing)疗(liao)效(xiao)确(que)切。骨(gu)(gu)质(zhi)疏(shu)松症(zheng)疼(teng)(teng)(teng)痛(tong)(tong)从(cong)(cong)中(zhong)医(yi)学(xue)理论(lun)(lun)认(ren)为可(ke)(ke)以按“痹(bi)”病(bing)论(lun)(lun)治(zhi)，我于(yu)是(shi)在(zai)2007年~2008年尝试用复方(fang)(fang)风湿(shi)宁(ning)治(zhi)疗(liao)骨(gu)(gu)质(zhi)疏(shu)松症(zheng)疼(teng)(teng)(teng)痛(tong)(tong)，效(xiao)果明(ming)显(xian)。总结如下(xia)：
一般资料：纳入治疗研究的56例病例均为中老年妇女，年龄45～ 63 岁。均有明显腰背疼痛、骨骼疼痛，部分病人行走困难。骨X 线片显示骨质疏松，部分病人伴有胸、腰椎陈旧性压缩性骨折。其中重度疼痛18例，中度疼痛22例，轻度疼痛16例。
治疗方法：骨质疏松症疼痛中度、重度的用复方风湿宁注射液肌注，4ml/次，一天一次，一周为一疗程。轻度骨质疏松疼痛的用复方风湿宁片口服，2~3片/次，一天三次，一个月为一疗程。在治疗同时口服钙尔奇D600，1粒/次，一天二次。
治疗结果：中、重度疼痛40例中26例采用肌注方法治疗一个疗程后疼痛消失，14例肌注治疗一个疗程后显著减轻，转为轻度疼痛后采用口服方法治疗一个疗程后疼痛消失。轻度疼痛的16例采用口服方法治疗一个疗程后14例疼痛症状消失，2例疼痛减轻。
治(zhi)(zhi)疗(liao)骨(gu)质(zhi)疏松(song)症疼痛(tong)，首先要减轻痛(tong)苦，患者才乐于继(ji)续接受治(zhi)(zhi)疗(liao)。在(zai)使用复(fu)方(fang)风(feng)湿(shi)(shi)(shi)宁治(zhi)(zhi)疗(liao)过程中(zhong)有些(xie)患者会产生一种轻松(song)、身(shen)体疼痛(tong)突(tu)然(ran)消失的(de)(de)舒适(shi)之(zhi)感(gan)，反映(ying)十分好。复(fu)方(fang)风(feng)湿(shi)(shi)(shi)宁由两面针、七叶莲、过岗(gang)龙、威灵仙、宽筋(jin)藤、鸡骨(gu)香(xiang)6味(wei)药(yao)材组成(cheng)，不仅能抗风(feng)湿(shi)(shi)(shi)、消肿、止(zhi)痛(tong)，并且药(yao)物成(cheng)分能深入(ru)骨(gu)质(zhi)，疏通血(xue)管，改善(shan)骨(gu)营养，提高骨(gu)质(zhi)对钙的(de)(de)吸收(shou)利用。在(zai)骨(gu)质(zhi)疏松(song)症的(de)(de)治(zhi)(zhi)疗(liao)过程中(zhong)我还体会到复(fu)方(fang)风(feng)湿(shi)(shi)(shi)宁配合补(bu)钙药(yao)物、抗骨(gu)质(zhi)疏松(song)药(yao)物、更年期(qi)后妇(fu)女补(bu)充雌(ci)激素等(deng)治(zhi)(zhi)疗(liao)方(fang)法(fa)能明显提高临床效果。
