手法复位联合垫枕练功治疗胸腰椎压缩性骨折的效果评价  

Evaluation of the effect of manual reduction combined with bolster training in the treatment of thoracolumbar vertebral compression fractures

作　　者：冯平东 吴朝阳 陈政镱 黄金凤 巫思华 FENG Ping-dong WU Chao-yang CHEN Zheng-yi HUANG Jin-feng WU Si-hua(Department of Orthopedics of Traditional Chinese Medicine,Hospital of Traditional Chinese Medicine of Maonan Dis- trict of Maoming City in Guangdong Province,Maoming 525000,Chin)

机构地区：[1]广东省茂名市茂南区中医院中医骨伤科,广东茂名525000

出　　处：《中国当代医药》2017年第22期84-86,共3页China Modern Medicine

摘　　要：目的探讨胸腰椎压缩性骨折患者接受手法复位与垫枕练功联合治疗的价值。方法选取我院2014年1月~2017年3月收治的120例胸腰椎压缩性骨折患者,根据治疗方案的不同分为对照组和实验组,各60例。对照组接受常规药物治疗、功能锻炼以及手法复位,实验组在对照组的基础上实施垫枕治疗,比较两组的治疗疗效、疼痛程度差异性。结果实验组的治疗优良率为96.67%,显著高于对照组的80.00%,差异有统计学意义(P<0.05);两组干预后1、4、6周的疼痛评分均显著低于干预前,其疼痛评分呈逐渐下降的趋势(P<0.05)。实验组干预后4、6周的疼痛评分显著低于对照组,差异有统计学意义(P<0.05)。结论胸腰椎压缩性骨折患者接受手法复位与垫枕练功联合治疗可以较好地改善其疼痛症状,提高骨折治疗效果,应用价值较高。Objective To explore the value of manual reduction combined with bolster training in the treatment of thoracolumbar vertebrae compression fractures.Methods 120 cases of thoracolumbar compression fractures treated in our hospital from January 2014 to March 2017 were selected and divided into the control group and the experimental group according to different treatment protocols,60 cases in each group.The control group was given routine drug therapy,functional exercise and manipulation,the experimental group was given bolster training on the basis of the control group.The therapeutic efficacy,pain level difference was compared between the two groups.Results The treatment excellent and good rate in the experimental group was 96.67%,which was significantly higher than 80.00% in the control group,with significant difference（P〈0.05）.The pain scores at 1,4 and 6 weeks after intervention in the two groups was significantly lower than that before intervention,and the pain score of the two groups showed a downward trend（P 〈0.05）.The pain scores at 4 and 6 weeks after intervention in the experimental group was significantly lower than that in the control group,with significant difference（P〈0.05）.Conclusion Thoracolumbar vertebral compression fractures in patients with manual reduction and bolster training combined treatment can better improve the pain symptoms,improve the effect of fracture treatment,the application value is higher.

关 键 词：手法复位 垫枕练功 胸腰椎压缩性骨折 

分 类 号：R683.2[医药卫生—骨科学]