Acupuncture treatment for primary osteoporosis: a systematic review

Objective To evaluate the clinical benefits of physical acupuncture intervention for primary osteoporosis, and to further compare the advantages and disadvantages of acupuncture treatment and other traditional treatment methods, and determine whether it can be included in conventional treatment. Methods Incorporating physical acupuncture treatment intervention principles Randomized controlled trials of primary osteoporosis, evaluate the quality of literature, extract data, and use RevMan5.0 software to evaluate the clinical effects, bone density, symptoms and signs, and bone metabolism of primary osteoporosis, and evaluate the clinical effects of acupuncture treatment Benefits. As a result, 1 099 patients with primary osteoporosis were selected, and 14 cases were shedding. The intention-to-treat analysis was adopted. The acupuncture group was 557 cases and the control group 542 cases. %Vs 82.8%, OR=1.12, 95% CI (0.68, 1.58), P=0.67], bone density [83.2%vs 88.9%, OR=2.22, 95% CI (0.98, 2.98), P=0.04] Similar to calcium, it is superior to the traditional Chinese medicine of Drynaria fortunei [86.2% vs 80.2%, OR=2.42, 95% CI (0.98, 2.87), P=0.04], but inferior to alendronate [83.2% vs 88.9% ,OR=2.22,95% CI(0.98,2.98),P=0.04]; better than calcium in improving bone pain [SMD=2.4,95% CI(1.8,3.6),P=0.02]], and traditional Chinese medicine [SMD=0.73, 95% CI (0.51,0.84), P=0.7] and alendronate [SMD=-0.53, 95% CI (-0.8, 1.1), P=0.8] are similar. In terms of improving bone metabolism , Acupuncture and calcium have no effect on bone metabolism. Chinese patent medicine for restoring broken bones and alendronate can significantly reduce estradiol and blood calcium levels. Conclusion Physical acupuncture is better than calcium in improving bone pain , The effect on bone density is similar to calcium supplementation, so physical acupuncture can be used as a routine intervention for calcium supplementation.