椎体成形术联合中药治疗老年骨质疏松性胸腰椎压缩骨折临床研究  

Study of Yertebroplasty Combined with Traditional Chinese Medicine in Treating Elderly Patients with Osteoporotic Vertebral Compressive Fractures

作　　者：卢朝黎[1] 李宇星[1] 

机构地区：[1]襄阳市中心医院,湖北襄阳441021

出　　处：《中医学报》2014年第7期979-980,985,共3页Acta Chinese Medicine

摘　　要：目的:探讨椎体成形术联合补肾壮骨汤治疗老年骨质疏松性胸腰椎压缩骨折(OVCF)的临床疗效。方法:将76例老年OVCF患者按随机数字表法分为对照组和观察组,对照组单纯行经皮椎体后凸成形术(PKP),观察组在此基础上联合应用补肾壮骨汤治疗,治疗后比较两组患者手术前后疼痛强度视觉模拟评分(VAS)、Oswestry功能障碍指数评分(ODI)的变化。结果:两组患者术后1个月、3个月及6个月VAS、ODI评分均较术前明显降低,差异有统计学意义(P<0.05);两组患者VAS、ODI评分在术后1个月、3个月比较无统计学差异(P>0.05),但术后6个月时观察组明显低于对照组,差异有统计学意义(P<0.05)。结论:PKP联合补肾壮骨汤治疗老年骨质疏松性胸腰椎压缩骨折可进一步提高远期疗效。Objective To investigate the effect of vertebroplasty combined with Bushenzhuanggu decoction in treating elderly patients with osteoporotic vertebral compressive fractures（OVCF）. Methods： 76 elderly patients were randomly divided into two groups. The control group were treated with percutaneous kyphoplasty（PKP） and the observation group combined PKP with Bushenzhuanggu decoction. The visual analogue pain intensity score（VAS）,Oswestry Disability Index（ODI） score were compared before and after surgery. Results： On the first and third month postoperative the VAS,ODI scores were significantly lower than before the surgery,the difference was statistically significant（P〈 0. 05）,and there were no significant difference in VAS,ODI score between the two groups（P〈 0. 05）,but after 6month,the VAS,ODI scores in observation group were significantly lower than the control group,the difference was statistically significant（P〉0. 05）. Conclusion： PKP combined with Bushenzhuanggu decoction in elderly patients with OVCF further improve the longterm efficacy.

关 键 词：骨质疏松性胸腰椎压缩骨折 椎体成形术 补肾壮骨汤 

分 类 号：R274.13[医药卫生—中医骨伤科学]