中西医结合治疗骨质疏松性胸腰椎压缩性骨折临床研究  

Therapeutic Effect of Integrated Chinese and Western Medicine Therapy for Osteoporotic Thoracolumbar Compression Fracture

作　　者：陈日勇[1] 何光向[1] 

机构地区：[1]丽水市人民医院骨科,浙江丽水323000

出　　处：《新中医》2014年第5期159-161,共3页New Chinese Medicine

摘　　要：目的:观察中西医结合治疗骨质疏松性胸腰椎压缩性骨折的临床效果。方法:选取110例骨质疏松性胸腰椎压缩性骨折患者,随机分为治疗组和对照组各55例,对照组采用过伸复位、口服乐力钙治疗,必要时加用物理治疗,治疗组在对照组治疗的基础上联合中药方剂进行治疗,对比2组治疗前后视觉模拟评分法(VAS)评分情况及治疗效果。结果:治疗前,2组VAS评分比较,差异无显著性意义(P>0.05)。治疗后及随访3月后,2组VAS评分均较治疗前下降(P<0.05);治疗组治疗后及随访3月后的VAS评分均低于对照组(P<0.05)。总有效率治疗组94.55%,对照组81.82%,2组总有效率比较,差异有显著性意义(P<0.05)。结论:采用中西医结合疗法治疗骨质疏松性胸腰椎压缩性骨折疗效确切。Objective： To investigate the therapeutic effect of integrated Chinese and western medicine therapy medicine in the treatment of osteoporotic thoracolumbar compression fracture. Methods： One hundred and ten osteoporotic thoracolumbar compression fracture patients were randomly divided into the treatment group and control group, 55 cases in each group. The control group was given hyperextendibility reset and oral use of Osteoform, and physical therapy when necessary. The treatment group was treated with Chinese medicine prescription based on the treatment for the control group. The clinical effect and pain visual analogue scale （VAS） scores were observed before and after treatment. Results： Before treatment, the difference of VAS scores between the two groups was insignificant （P 〉 0.05）. After treatment and three-month follow-up, VAS scores of both group were decreased （P 〈 0.05 compared with those before treatment）, and the scores were lower in the treatment group than those in the control （P 〈 0.05）. The total effective rate was 94.55% in the treatment group and was 81.82% in the control group, the difference being significant（P 〈0,05）. Conclusion. Integrative Chinese and western medicine exerts certain effect in the treatment of osteoporotic thoracolumbar compression fracture.

关 键 词：骨质疏松 胸腰椎压缩性骨折 中西医结合疗法 

分 类 号：R589.5[医药卫生—内分泌]