补肾益精汤联合椎体后凸成形术治疗老年骨质疏松性胸腰椎压缩性骨折及对患者骨代谢指标的影响  

The effects of the Bushen Yijing decoction plus PKP on bone metabolism indexes in patients with senile osteoporotic thoracolumbar compression fractures

作　　者：齐权律 黄超文 王晓晖 唐元 Qi Quanlv

机构地区：[1]湘潭市中医院,湖南湘潭411100

出　　处：《中医临床研究》2021年第10期66-68,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:评价对老年骨质疏松性胸腰椎压缩性骨折患者应用补肾益精汤联合球囊扩张椎体后凸成形术(Percutaneous Kyphoplasty,PKP)治疗对于患者骨代谢指标的影响。方法:纳入湘潭市中医院2018年3月-2020年3月收治的82例老年骨质疏松性胸腰椎压缩性骨折患者,以抽签法分为对照组(予PKP治疗)和观察组(予补肾益精汤联合PKP治疗),每组41例。将两组老年骨质疏松性胸腰椎压缩性骨折患者的治疗效果进行比较。结果:观察组椎体前缘丢失高度、Cobb角、活动功能评分和疼痛评分均优于对照组(P<0.05),骨代谢指标优于对照组(P<0.05),生活质量评分高于对照组(P<0.05),中医证候积分小于对照组(P<0.05)。结论:老年骨质疏松性胸腰椎压缩性骨折患者应用补肾益精汤联合PKP治疗的效果显著,可以有效改善患者的骨代谢指标,值得在临床上推广使用。Objective:To evaluate the effects of the Bushen Yijing decoction(补肾益精汤)plus percutaneous kyphoplasty on bone metabolism indexes in elderly patients with osteoporotic thoracolumbar compression fractures.Methods:82 cases in our hospital from March 2018 to March 2020 were enrolled and were divided into the control group(took PKP)and the observation group(took the Bushen Yijing decoction plus PKP)by drawing lots,41 cases in each.Results:The anterior vertebral body loss height,Cobb angle,activity function score and pain score in the observation group were better than the control group(P<0.05),bone metabolism index was better than the control group(P<0.05),the life quality scores were higher than the control group(P<0.05),and the TCM syndrome scores were lower than the control group(P<0.05).Conclusion:The effects of the Bushen Yijing decoction plus PKP on elderly patients with osteoporotic thoracolumbar compression fractures are significant,which can effectively ameliorate the bone metabolism,and it is worthy of clinical application.

关 键 词：补肾益精汤 椎体后凸成形术 老年骨质疏松性胸腰椎压缩性骨折 骨代谢指标 

分 类 号：R274.1[医药卫生—中医骨伤科学]