MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG BỆNH LOÃNG XƯƠNG TẠI KHOA LÃO BỆNH VIỆN Y HỌC CỔ TRUYỀN TRUNG ƯƠNG

Abstract

Objective: The study was performed to investigate the clinical and subclinical characteristics of Osteoporosis at Geriatric Department - National Hospital of Traditional Medicine. Subjects and Method: Prospective Studies method, Cross-sectional Descriptive Studies on 72 patients with a convenient sampling method, execution time from 5/2018 - 5/2019. Results: The common clinical symptoms according to Modern Medicine: low back pain (94,4%), spinal postural disorders (44,4%), loss of height (44,4%), cervical spinal pain (27,8%), long-bone pain (23,6%). The clinical patterns according to Traditional Medicine: the kidney yin vacuity (81,9%), the spleen-stomach vacuity weakness (9,7%), the liver-kidney yin vacuity and wind damp impediment (5,6%), the kidney yang vacuity (2,8%). The average blood calcium level was 2,21 ± 0,12 mmol/l. Spine X-ray: vertebral collapse (40,4%), decrease bone mineral density (31,6%). The mean of bone mineral density (BMD) was -3,00 ± 1,45 SD at the lumbar spine and 3,26 ± 1,01 SD at the femoral neck. The prevalence of osteoporosis at the femoral neck, L1, L2, L3 and L4 was 83,3%; 73,6%; 72,2%; 61,1%; 65,3%.