| Osteoporosis is a kind of bone disease characteristic of low bone content and damage of microstructure of bone tissue, accompanied by increase in friability and increase in danger of fracture. The old aged fracture of hip is a fracture of hip mainly because of senile osteoporosis patients aroused by light out-strength (fall down steps).With aging of population, the old-age fracture of hip has great impact on life quality of the patients, It brings great burden both to the family and the social.This article deals with the knowledge of osteoporosis and old-age fracture of hip in Western and Chinese medicine. TCM has not literature about the name of osteoporosis. According to the clinical manifestation of osteoporosis, It is regarded as related concepts including "Gu Wei" , "Gu Bi" , "Gu Ku" , "Lumbar Pain" . But the old-age fracture of hip is regarded as "Bone Fracture" . The pathogenesis of it in-reason is deficiency of kidney, has also relate about liver and spleen, the out-reason is caused by light strength, mainly by fall down steps. It mainly regard the deficiency of kidney and liver as Ben, the sluggish of Qi and Blood as Biao, namely Ben deficiency and Biao excess. The therapy doctrine is to strengthen kidney and supply spirit, complement promoting the flow of Qi and activating the circulation of Blood, strengthen spleen and support blood, strong tendon and bone, emphasize from integrity of patient to distinguish of syndrome, comprehensive adjustment. The clinical and experimental researches reveal concrete effects and objective fundamentals of theory.The pathogenesis of osteoporosis is complicated. The Western medicineviewpoint is that osteoporosis can be caused by genetic factor, change of incretion, change of bone inorganic element, cell activity, effect to internal structure of bone tissue and alteration of bone biomechanics, is prone to fracture. The old aged have a fracture because of osteoporosis, reduce of bone trabecula of hip, or until extinction, together with densely covered of nourish blood vessel pore. It can weaken constitution of biomechanics of hip. Besides, the old aged have a fracture because of asthenia of muscle group of hip, slowness of response, can not utility offset the moreover stress of hip. In addition the hip is compressed big press, pressure suffer transfer, like fall down steps to the plain, or lower limb suddenly distort or even not evidently under trauma. In a hand, the therapeutic methods is ought to have lower limber traction as possibly as early, manipulative reduction, closure AO hollow spongy bone screw internal fixation, under the permission of condition of total body. Palmar grasp the adaptation of operation, do the internal fixation of open reduction if have operation sign, or artificial hip replacement, make patient recover early, rise the patients' quality of life. The other hand, it is to maintain BMD (Bone mineral density) and acceleration the ability of bone formation, and rise mass of bone and reinforce bone intensity though drawing assistance from drugs to prevent bone matrix absorption function. At present, drugs on the prevention and treatment of osteoporosis consists of two categories—the inhibitors of bone resorption, and promoter of bone formation. All cases in the investigation cover orthopedics out-patients and in-patients in Guangdong Provincial Hospital of TCM from 5, 2004 to 2, 2005. This study followed the simple-random contrast rule. They are allocated randomly into two groups: the treatment group and the control group. The treatment group: adopting to take orally "Gusong'an" capsule, three granulations, three times everyday; The control group: taking orally D, each time 600mg, one time everyday. The above group patients were injected dan-shen root 30ml + 0.9%NS 250ml (iv drop) after hospitalization, the time is one course, two weeks. The time of two groups is two months. At the same time, the manipulative reduction and lower limber traction, or corresponding operation therapy are being done to the fracture of hip.The two groups patients have an empty stomach withdrawal 2ml examined early morning before therapy, including blood serum calcium (Ca2+), blood serum Alkaline Phosphatase (ALP) and blood serum osteocalcin(BGP) content. They are...
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