中医药联合经皮椎体成形术治疗老年椎体压缩性骨折临床观察  

Clinical Observation on TCM Combined with Percutaneous Vertebroplasty in Treatment of Senile Vertebral Compression Fractures

作　　者：陆根华[1] 吕正祥[1] LU Genhua;LYU Zhengxiang(Changzhou Hospital of Traditional Chinese Medicine,Nanjing University of Chinese Medicine,Nanjing 213003)

机构地区：[1]南京中医药大学附属常州市中医医院

出　　处：《湖北中医药大学学报》2019年第5期76-78,共3页Journal of Hubei University of Chinese Medicine

基　　金：江苏省常州市科技计划项目（项目编号：2016138）

摘　　要：目的观察中医药联合经皮椎体成形术治疗老年椎体压缩骨折中的效果。方法随机选取我院老年椎体压缩骨折患者120例,分为中医药联合经皮椎体成形术治疗组(联合治疗组)和单独经皮椎体成形术治疗组(单独治疗组),统计分析两组患者的VAS评分、MBI评分、椎体前缘高度、Cobb角、临床疗效、并发症发生情况。结果联合治疗组患者的VAS评分、MBI评分、Cobb角均显著低于单独治疗组(P<0.05),椎体前缘高度显著高于单独治疗组(P<0.05),治疗的总有效率96.7%显著高于单独治疗组70.0%(P<0.05),并发症发生率6.7%显著低于单独治疗组20.0%(P<0.05)。结论中医药在经皮椎体成形术治疗老年椎体压缩骨折中的效果好。Objective To observe the effect of traditional Chinese medicine(TCM) combined with percutaneous vertebroplasty (PVP) in treatment of elderly vertebral compression fractures. Methods 60 cases of elderly patients with vertebral compression fractures were randomly divided into two groups. Combination treatment group was treated with TCM combined with PVP, single treatment group was treated with PVP alone. The VAS scores,MBI scores,anterior vertebral heights,Cobb angles,clinical efficacy and complications of the two groups were statistically analyzed. Results The VAS score,MBI score and Cobb angle of combined treatment group were significantly lower (P<0.05),the anterior vertebral height was significantly higher (P<0.05), the total treatment effective rate 96.7% was significantly higher than single treatment group 70.0%(P<0.05),the incidence of complications 6.7% was significantly lower than single treatment group 20.0%(P<0.05). Conclusion Chinese medicine is effective in treatment of senile vertebral compression fractures.

关 键 词：老年椎体压缩骨折 经皮椎体成形术 中医药疗法 

分 类 号：R274.1[医药卫生—中医骨伤科学]