手法整复治疗椎体压缩超1/3的胸腰椎压缩性骨折的临床研究  

Clinical Research on Bone-Setting Technique in Treating Thoracolumbar Vertebral Compression Fractures with Centrum Compressed Over 1/3

作　　者：谭伟欣[1] 傅强[1] 李国韶 

机构地区：[1]佛山市中医院,广东佛山528000

出　　处：《临床医学工程》2015年第6期703-704,共2页Clinical Medicine & Engineering

基　　金：国家中医药管理局"全国名老中医药专家传承工作室"建设项目(国中医药人教函[2012]149号)

摘　　要：目的探讨运用手法整复治疗无神经症状的单个椎体压缩超1/3椎体高度的胸腰椎压缩性骨折的疗效。方法对30例无神经症状的单个椎体压缩超1/3椎体高度的胸腰椎压缩性骨折患者行手法整复,手法后予以患者腰部垫塔形垫,指导患者行腰背肌功能锻炼,卧床4周,随访12个月。记录患者伤椎后凸Cobb角、椎体前缘高度比值和VAS评分。结果手法后椎体后凸Cobb角、伤椎前缘高度比值、VAS评分均较手法前有明显改善,差异有统计学意义(P<0.05)。结论手法治疗无神经症状的单个椎体压缩超1/3椎体高度的胸腰椎压缩性骨折安全可行,疗效显著,可恢复椎体的高度,避免手术风险,减少并发症。Objective To explore the effect of bone-setting technique in treating thoracolumbar vertebral compression fractures with centrum compressed over 1/3 and without neurological symptoms（hereafter referred to as compression fractures）. Methods 30 patients with compression fractures were treated with bone-setting technique. The patients were matted a wad of pyramid shape under waist, guided to do lumbodorsal muscles functional training and ordered to stay in bed for 4 weeks. All patients were followed up for 12 months. The Cobb angle, vertebral height ratio and VAS score were recorded. Results After technique, the Cobb angle, vertebral height ratio and VAS score were significantly improved, with statistical difference（P〈0.05）. Conclusions Bone-setting technique is safe and effective in the treatment of compression fractures, which can restore vertebral height, avoid surgery risk and reduce complications.

关 键 词：手法整复 胸腰椎压缩性骨折 

分 类 号：R683[医药卫生—骨科学]