中西医结合保守治疗胸腰椎骨折470例临床疗效观察  

Curative Effects of Conservative Integrative Treatment for 470 Patients suffering from Thoracolumbar Fractures

作　　者：张绍文[1,2] 李盛华[1] 樊成虎[1] 

机构地区：[1]甘肃省中医院,甘肃兰州730050 [2]天津中医药大学

出　　处：《西部中医药》2013年第5期108-110,共3页Western Journal of Traditional Chinese Medicine

摘　　要：目的:观察470例胸腰椎骨折患者行保守治疗的临床疗效。方法:对470例胸腰椎骨折患者实施闭合复位,中药治疗,功能锻炼,支具固定等保守治疗,分别于治疗前、治疗后2周进行VAS评分和Cobb角测量,并对合并脊髓/神经损伤的病例于治疗前、治疗后2周进行ASIA评分,记录合并症和住院时间,对相关结果进行统计学分析。结果:470例患者中3例完全性脊髓损伤的胸腰椎骨折患者治疗后2周较治疗前ASIA评分好转1级,9例部分性脊髓损伤的胸腰椎骨折患者治疗后2周较治疗前ASIA评分好转2级以上。治疗前、治疗后2周患者VAS评分分别为(7.60±1.80)分、(2.30±0.80)分,差异具有统计学意义(P<0.05),Cobb角分别为(24.80±6.50)度、(5.20±2.90)度,差异具有统计学意义(P<0.05)。常见合并症有腹胀95例,便秘64例。住院时间5～38天,平均14.8天。结论:只要适应证选择得当,中西医结合保守治疗胸腰椎骨折具有住院时间短、并发症少、疗效显著等优点。Objective： To study clinical efficacy of conservative treatment for 470 patients suffering from tho- racolumbar fractures. Method： All 470 patients received conservative treatment such as closed reduction, TCM ther- apy, functional exercise, orthosis fixation, VAS and Cobb angle measurement were performed before treating and in two weeks after treating, ASIA scale was presented to those who complicated with spinal cord/neural injury before treating and in two weeks after treating, the complications and hospitalization time were recorded, the data was ana- lyzed statistically. Result： Among 470 patients, ASIA of three patients with complete spinal cord injury in two weeks after treating was improved one grade than before treating, ASIA of nine patients with injury of part of spinal cord was improved more than two grades. VAS scores of patients before treating and in two weeks after treating were （7.60＋1.80） and （2.30＋0.80） respectively, the differences showed statistical meaning （P〈0.05）, Cobb angles were re- spectively the degrees of（24.80＋6.50） and （5.20＋2.90）, the differences had statistical meaning （P〈0.05）. The com- mon complications were 95 cases with abdominal distention and 64 cases with constipation. Hospitalization time was 5 to 38 days and average length of hospital stay was 14.8 days. Conclusion： Integrative treatment presents the advantages of short hospitalization time, less complications, remarkable effects for the appropriate indications of thoracolumbar fracture.

关 键 词：骨折 胸腰椎 保守治疗 适应证 

分 类 号：R683[医药卫生—骨科学]