手法复位联合中药治疗老年骨质疏松性胸腰椎压缩性骨折的临床疗效  

Manual Reduction Combined with Chinese Materia Medica in the Treatment of Older Patients with Osteoporotic Thoracolumbar Vertebral Compression Fractures

作　　者：何天福 韩长青 李立强[3] 王连荣 宋冬 He Tianfu;Han Changqing;Li Liqiang;Wang Lianrong;Song Dong(Beijing Hospital of Integated Traditional Chinese and W estern Medicine,Beijing 100089;Bejig Shijinghan Hopital,Bejing 100043;Hebei Provincial Hospital of Traditional Chinese Medicine,Shijazhuang 050000)

机构地区：[1]北京中西医结合医院,北京100089 [2]北京市石景山医院,北京100043 [3]河北省中医院,石家庄050000

出　　处：《国际老年医学杂志》2022年第2期202-205,共4页International Journal of Geriatrics

基　　金：河北省中医药管理局科研计划项目(2021083)。

摘　　要：目的探索手法复位联合三期辨证用药治疗老年骨质疏松性胸腰椎压缩性骨折的临床疗效。方法选取北京中西医结合医院骨科2018年3月~2021年6月收治的老年骨质疏松性胸腰椎压缩性骨折患者96例,按随机数字表法分为观察组和对照组,各48例。对照组采用仰卧垫枕法联合中药三期辨证治疗,观察组采用过伸牵引弹性按压手法复位联合仰卧垫枕及中药三期辨证治疗。比较两组治疗前、治疗后1、6个月时的伤椎矢状面Cobb角、椎体前缘高度重建率及Oswestry功能障碍指数(ODI),同时采用视觉模拟评分法(VAS)对疼痛程度进行评价。结果两组治疗后1、6个月后椎体前缘高度重建率高于治疗前,伤椎矢状面Cobb角、VAS评分和ODI低于治疗前,差异均有统计学意义(P<0.05);治疗后1、6个月后,观察组椎体前缘高度重建率高于对照组,伤椎矢状面Cobb角、VAS评分和ODI低于对照组,差异均有统计学意义(P<0.05)。结论过伸牵引弹性按压手法复位联合中药三期辩证可改善老年骨质疏松性胸腰椎压缩性骨折患者的伤椎前缘高度和后凸Cobb角,缓解疼痛,临床疗效好,值得推广。Objective To explore the clinical effect of manual reduction combined with three-stage dialectical Chinese materia medica treatment on osteoporotic thoracolumbar compression fractures in older patients.Methods A total of 96 older patients with osteoporotic thoracolumbar vertebral compression fractures who were admitted to Beijing Hospital of Integrated Traditional Chinese and Western Medicine from March 2018 to June 2021 were selected, and divided into the observation group(48 cases) and the control group(48 cases) according to the random number table.Both groups were treated with supine pillow and three-stage dialectical Chinese materia medica, the observation group was additionally treated with manual reduction by hyperextension traction elastic pressing manipulation.The sagittal Cobb angle of the injured vertebral body, reconstruction rate of the height of anterior border of injured vertebral body, oswestry disability index(ODI) and visual analogue scale(VAS) were compared between the two groups before treatment, 1 month and 6 months after treatment.Results One month and 6 months after treatment, the reconstruction rates of the height of anterior border of injured vertebral body in the two groups were higher than those before treatment, and the sagittal Cobb angle, VAS score and ODI were lower, the differences were statistically significant(P<0.05).One month and 6 months after treatment, the reconstruction rates of the height of anterior border of injured vertebral body in the observation group were higher than those in the control group, and the sagittal Cobb angle, VAS score and ODI were lower than those in the control group, the differences were statistically significant(P<0.05).Conclusion Hyperextension traction elastic compression manipulation combined with three-stage dialectical Chinese materia medica shows good efficacy in improving the height of anterior border of injured vertebral body and Cobb angle, and relieving pain in older patients with osteoporotic thoracolumbar compression fractures.

关 键 词：手法复位 中药 骨质疏松性胸腰椎压缩性骨折 临床疗效 

分 类 号：R687.3[医药卫生—骨科学]