腰背肌锻炼结合中药湿热敷治疗新鲜椎体压缩骨折  

Analysis of Low Back Muscle Exercise Combined with Chinese Medicine Moist Heat Treatment for Fresh Vertebral Compression Fractures

作　　者：邓小川[1] 何承建[1] 杨傲飞[2] 肖强兵[1] 白书臣[1] 

机构地区：[1]湖北省中医院,武汉430061 [2]湖北中医药大学

出　　处：《中国中医骨伤科杂志》2013年第3期31-33,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨腰背肌锻炼配合中药湿热敷治疗新鲜椎体压缩骨折的临床疗效,分析其机理。方法:将我院骨科自2009年2月-2012年2月收治的新鲜VCF患者80例随机分配为A、B 2个组,A组为腰背肌功能锻炼结合中药湿热敷治疗;B组为单纯腰背肌功能锻炼。治疗后进行随访,并根据VAS疼痛评分标准等进行评价。结果:80例均获得随访,时间10～36个月,平均23.6个月,随访结果显示,保守治疗在止痛、降低椎体高度丢失率及降低Cobb角方面具有明显效果,且中药湿热敷能提高保守治疗疗效。2组比较差异无统计学意义(P>0.05)。结论:采用腰背肌锻炼配合中药湿热敷的治疗方法可推荐为治疗胸11到腰3椎体中单个椎体骨折的保守治疗常规方案。To investigate the clinical efficacy and mechanism of low back muscle exercise combined with tradition- al Chinese medicine moist heat treatment for fresh vertebral compression fractures （VCF）. Methods：All 80 hospitalized pa- tients, from February 2009 to February 2012, with fresh VCF were divided into groups A and group B. Group A were treated with low back muscle exercise combined with tradition Chinese medicine moist heat treatment, and group B were treated with low back muscle exercise only. The clinical efficacy was evaluated by the VAS pain scores. Results.. All 80 cases were followed up for 10 to 36 months, an average of 23.6 months. The results showed that conservative treatment was db- viously effective on relieving pain and reducing vertebral height and the angle of Cobb, as well, traditional Chinese medicine moist heat treatment could improve this efficacy. Conclusion： Low back muscle exercise combined with traditional Chinese medicine moist heat can be recommended for the regular treatment of one vertebral fracture of thoracic 11 to lumbar 3.

关 键 词：椎体成形术 保守治疗 功能锻炼 骨质疏松 

分 类 号：R683.2[医药卫生—骨科学]