展筋活血方配合塔形垫自然牵引法治疗单纯性胸腰椎压缩性骨折的临床疗效  

Clinical effect of Zhanjinhuoxue Formula combined tower-type pad natural traction for treating pure thoracolumbar compression fracture

作　　者：刘业伟[1] 张欲翔 黄晓松[2] 沈向楠 Liu Yewei Zhang Yuxiang Huang Xiaosong Shen Xiangnan(Department of Radiology Department of Orthopedics, Hebei Provincial Hospital of Traditional Chinese Medicine, Shij iazhuang , Hebei 050011, China)

机构地区：[1]河北省中医院放射科,石家庄050011 [2]河北省中医院骨科,石家庄050011

出　　处：《重庆医学》2017年第9期1246-1248,共3页Chongqing medicine

基　　金：河北省中医药管理局科研计划项目(2015095)

摘　　要：目的探讨展筋活血方配合塔形垫自然牵引法治疗单纯性胸腰椎压缩性骨折的临床疗效。方法选择2014年1~12月该院收治的胸腰椎压缩性骨折患者50例,将其分为观察组(n=25)和对照组(n=25),对照组给予塔形垫自然牵引法,观察组给予展筋活血方配合塔形垫自然牵引法,比较两组患者的治疗效果、疼痛评分、活动能力评分、止痛药评分、骨密度(BMD)及日本骨科协会(JOA)评分等差异。结果观察组有效率为92.00%,对照组为68.00%,两组比较差异有统计学意义(χ2=4.50,P<0.05)。治疗后6个月,观察组患者疼痛评分、活动能力评分、止痛药评分均明显低于对照组患者(P<0.05);观察组患者BMD及JOA评分均明显高于对照组患者(P<0.05)。结论展筋活血方配合塔形垫自然牵引法有助于缓解单纯性胸腰椎压缩性骨折患者疼痛症状,增强运动功能并提高治疗效果。Objective To investigate the clinical effect of Zhanjinhuoxue Formula combined with the tower-type pad natural traction for the treatment of pure thoracolumbar compression fracture.Methods Fifty patients with thoracolumbar compression fractures treated in our hospital from January to December 2014 were selected and divided into the observation group（n=25）and control group（n=25）.The control group was given the tower-type natural traction method,while the observation group was given Zhanjinhuoxue Formula combined with the tower-type pad natural traction method.The curative effect,pain score,activity ability score,analgesic drugs score,bone mineral density（BMD）and the Japanese Orthopedic Association（JOA）score were compared between the two groups.Results The effective rate was 92.00% in the observation group and 68.00% in the control group,the difference between the two groups was statistically significant（χ^2=4.50,P〈0.05）.The pain score,activity ability score and analgesic drugs score after 6-month treatment in the observation group were significantly lower than those in the control group（P〈0.05）;the BMD and JOA scores in the observation group were significantly higher than those in the control group（P〈0.05）.Conclusion Zhanjinhuoxue Formula coordinated by the tower-type pad natural traction method can conduce to alleviate the pain symptom in the patients with pure thoracolumbar compression fracture,increases the movement function and improves the treatment effect.

关 键 词：胸椎 腰椎 骨折 压缩性 展筋活血方 疼痛程度 JOA评分 

分 类 号：R687.3[医药卫生—骨科学]