中药内服联合穴位贴敷治疗骨质疏松性椎体压缩骨折术后患者的疗效观察  

Effect of Internal Administration of Traditional Chinese Medicine Combined with Acupoint Application in the Treatment of Postoperative Patients with Osteoporotic Vertebral Compression Fracture

作　　者：邢会菊 张庆普 XING Hui-ju;ZHANG Qing-pu(People's Hospital of Huiji District,Zhengzhou Henan 450000)

机构地区：[1]郑州市惠济区人民医院,河南郑州450000

出　　处：《世界中西医结合杂志》2021年第11期2075-2078,共4页World Journal of Integrated Traditional and Western Medicine

摘　　要：目的探讨补肾壮骨汤联合中药穴位贴敷治疗骨质疏松性椎体压缩骨折(Osteoporoticvertebralcompressionfracture,OVCF)术后患者的临床疗效。方法选取2019年5月—2020年5月期间郑州市惠济区人民医院骨科收治的OVCF住院患者98例,按随机数字表法分为观察组和对照组,每组各49例。两组患者均采取经皮椎体成形术(Pereutaneous vertebro plasty,PVP)治疗,对照组患者入院后行健脾散穴位贴敷治疗,观察组采取补肾壮骨汤内服联合健脾散穴位贴敷治疗。两组患者均治疗3个疗程后,观察比较两组患者治疗前后疼痛视觉模拟(Visual analogue scale,VAS)评分、Oswestry功能障碍指数(Oswestry disability Index,ODI)评分、腰椎骨密度值(Bone mineral density,BMD)变化情况及临床疗效和不良反应情况。结果治疗后观察组总有效率91.84%(45/49)高于对照组83.67%(41/49),两组比较,差异有统计学意义(P<0.05)。治疗后两组患者椎体前缘丢失高度、伤椎Cobb角度均较治疗前明显降低(P<0.05),且观察组治疗后椎体前缘丢失高度、伤椎Cobb角度较对照组明显降低,差异有统计学意义(P<0.05)。两组患者治疗后VAS、ODI评分均较治疗前下降,BMD值较治疗前升高,差异有统计学意义(P<0.05);且观察组治疗后VAS、ODI评分均较对照组明显降低,BMD值较对照组明显升高,差异有统计学意义(P<0.05)。治疗期间,两组患者均未出现不良反应。结论采用补肾壮骨汤内服联合健脾散穴位贴敷治疗能够有效缓解疼痛,改善预后,提高生活质量,提升临床治疗效果。Objective To investigate the effect of Bushen Zhuanggu Decoction combined with acupoint application of Chinese medicine in the treatment of osteoporotic vertebral compression fractures(Osteoporoticvertebral compression fracture,OVCF).Methods A total of 98 inpatients with OVCF admitted to the Department of Orthopedics of Huiji District People's Hospital of Zhengzhou from May 2019 to May 2020 were selected and divided into observation group and control group according to random number table method,with 49 cases in each group.Patients in both groups were treated with percutaneous vertebroplasty,patients in control group were treated with Jianpi San acupoint application after admission.Patients in observation group were treated with Bushen Zhuanggu Decoction combined with Jianpi San acupoint application.After 3 courses of treatment,visual analogue score of pain,Oswestry disability index score,changes in lumbar bone mineral density,clinical efficacy and adverse reactions were observed and compared between the two groups before and after treatment.Results After treatment,the total effective rate of the observation group was 91.84%(45/49)higher than that of the control group 83.67%(41/49),and the difference was statistically significant(P<0.05).After treatment,the height of vertebral anterior margin loss and Cobb Angle of injured vertebrae in 2 groups were significantly decreased compared with before treatment(P<0.05),and the height of vertebral anterior margin loss and Cobb Angle of injured vertebrae in observation group were significantly decreased compared with control group after treatment,with statistical significance(P<0.05).After treatment,VAS and ODI scores in 2 groups were decreased compared with before treatment,BMD value was increased compared with before treatment,the difference was statistically significant(P<0.05).After treatment,VAS and ODI scores in the observation group were significantly lower than those in the control group,and BMD value was significantly higher than that in the control group,with sta

关 键 词：补肾壮骨汤 健脾散 穴位贴敷 骨质疏松 椎体压缩骨折 

分 类 号：R274.1[医药卫生—中医骨伤科学]