分析疏肝温肾痰瘀双解汤联合针灸治疗对骨质疏松症伴腰背痛患者睡眠质量的影响

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AbstractObjective：To exploretheefectofShugan Wenshen Tanyu Shuangjie Decoctioncombinedwithacupunctureonthe pain severityand sleepqualityof patients withosteoporosisaccompaniedbylowbackpain.Methods：Atotalof 84 patients with osteoporosisandback painadmitedin XiamenSiming Jingyuan Traditional Chinese Medicine HospitalfromApril2022 to May 2023 were selectedasthe studysubjects.Theywererandomly divided intoacontrolgroupandanobservation groupbyrandom numbertable，with42 patients ineach group.Thecontrolgroup wasgivenroutinetreatment，andtheobservation groupwas given Shugan Wenshen Tanyu Shuangie Decoctioncombined withacupuncture.ThePitsburgh SleepQuality Index（PSQI）was used to compare the diferences in sleepqualitybetween the two groupsand the VisualAnalogScale（VAS）wasused tocompare the pain improvement efectofpatients inthetwo groups.Theserumcalciumandlumbarbone densityof patients inthe two groups were compared，and sleepindicators，including wakefulnessaftersleeponsetandhoursofsleep，werecompared.Results：Afterthe treatment，thePSQI scoreand VASscoreof patients in both groupsdecreased，theobservation groupwassignificantlylowerand the difference between the two groups was statistically significant（ P<0.05 ）.Both groups showed an increase in blood calcium levelsandlumbarspinebonedensityafterthetreatmentandtheincreaseoftheobservationgroupwasmoresignificantlythanthat of the control group（ P<0.05， ）.The wakefulness after sleep onset in the observation group significantly beter improved than that inthecontrolgroup，andthecontinuousslephoursweresignificantlylongerthanthoseinthecontrolgroup.Thediferencebetween the two groups was statistically significant（ P<0.05 ）. Conclusion：The combination of Shugan Wenshen Tanyu Shuangjie Decoctionandacupuncturecanefectivelyimprovethesleepquality，reduce thepainseverity，increaseserumcalciumandbone density，and increase sleep time of patients with osteoporosis accompanied by low back pain.

KeywordsOsteoporosis with lumbar and back pain；Sleep improvement;；Shugan Wenshen Tanyu Shuangjie Decoction；Acupuncture； Serum calcium; Lumbar spine bone density；Pain; Sleep hours at night 中图分类号：R338.63 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.05.028

骨质疏松症是老年人中最常见的疾病之一。（剩余5248字）