自助式悬吊牵引整复治疗老年骨质疏松性胸腰椎压缩骨折的临床观察  

Clinical Observation of Self-help Suspended Traction Therapy in Treating Thoracolumbar Compression Fracture of Elderly Osteoporotic Patients

作　　者：娄宇明[1] 唐汉武[1] 黄承军[1] 徐敏[1] 唐福宇[1] 梁柱[1] 刘保新[1] 梁冬波[1] 王继[1] 

机构地区：[1]广西中医学院第三附属医院脊柱外科,广西柳州545001

出　　处：《中国中医骨伤科杂志》2012年第3期13-14,共2页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：广西壮族自治区中医药管理局中医药科技专项课题(编号:GZKZ10-085)

摘　　要：目的:观察自助式悬吊牵引整复治疗老年骨质疏松性胸腰椎压缩骨折的临床疗效。方法:80例老年骨质疏松性胸腰椎压缩骨折患者,随机分成治疗组和对照组,每组40例,分别采用自助式悬吊牵引整复和垫枕复位治疗。观察临床疗效、骨折椎体治疗前后Cobb角改变情况及治疗期间动态疼痛视觉模拟量表(visual analog Scale,VAS)评分。结果:经过4周的治疗后,临床疗效评价,组间比较差异无统计学意义(P>0.05)。治疗前后骨折椎体复位情况比较,显示治疗组骨折椎体Cobb角改善优于对照组,差异有统计学意义(P<0.05)。治疗期间动态VAS评分观察结果提示在治疗早期(治疗第1、2周)治疗组疼痛缓解优于对照组,差异有统计学意义(P<0.05),而在治疗结束时2组疼痛皆明显缓解,评分比较差异无统计学意义(P>0.05)。结论:自助式悬吊牵引整复治疗老年骨质疏松性胸腰椎压缩骨折能早期缓解患者腰背部疼痛、改善腰部活动功能,临床疗效肯定。Objective：To observe the therapeutic effect of self-help suspended traction therapy in treating thoracolumbar compression fracture of elderly osteoporotic patients.Method： All 80 cases with thoracolumbar compression fracture were randomly divided into the control group（n=40） and self-help suspended traction therapy group（n= 40）.The clinical effect,the Cobb angle,and the VAS values were observed.Result： The total effective rate was not different between the two groups 4 weeks after treatment（P0.05）.The improvement of Cobb angle in the therapy group was better than the control group（P0.05）.The VAS values of the control group were higher than the self-help suspended traction therapy group at 1 and 2 week during the therapy.Conclusion：The self-help suspended traction therapy is effective for treating thoracolumbar compression fracture of elderly osteoporotic patients.

关 键 词：自助式悬吊牵引整复 胸腰椎骨折 老年人 骨质疏松 

分 类 号：R683.2[医药卫生—骨科学]