复方中药强骨饮辅助治疗对骨质疏松性椎体压缩性骨折患者疗效、愈合程度及骨代谢水平的影响  

Effects of compound traditional Chinese medicine Qianggu yin auxiliary therapy on curative effect, healing degree and bone metabolism level of patients with osteoporotic vertebral compression fracture

作　　者：蒋万俊 JIANG Wanjun

机构地区：[1]潜江市中医院,湖北潜江433199

出　　处：《中医临床研究》2022年第9期115-117,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察复方中药强骨饮辅助治疗对骨质疏松性椎体压缩性骨折患者的疗效、愈合程度及骨代谢水平的影响。方法:选取2018年1月-2021年1月接收的骨质疏松性椎体压缩性骨折患者160例,按照随机数字表法分为两组,各80例,两组均行经皮椎体后凸成形术治疗,对照组接受碳酸钙D3片辅助治疗,试验组行复方中药强骨饮辅助治疗,对比两组治疗效果,中医证候积分,术后6个月、12个月腰椎骨密度情况。结果:观察组总有效率显著高于对照组,差异存在统计学意义(P <0.05)。治疗前,两组患者中医证候积分、腰椎骨密度情况无显著差别,差异不存在统计学意义(P> 0.05)。治疗后,两组术后6个月、12个月腰椎骨密度均增加,且观察组指标显著高于对照组,差异存在统计学意义(P <0.05)。治疗后,两组中医证候积分均下降,且观察组指标显著低于对照组,差异存在统计学意义(P <0.05)。结论:复方中药强骨饮辅助治疗对骨质疏松性椎体压缩性骨折的疗效显著,可有效改善患者的腰体疼痛等症状,安全性好,多加推广应用有助于提高治疗效果,减少不良反应的发生。Objective:To observe the effect of compound traditional Chinese medicine Qianggu yin(强骨饮)auxiliary therapy on curative effect,healing degree and bone metabolism level of patients with osteoporotic vertebral compression fracture.Methods:A total of 160 patients with osteoporotic vertebral compression fracture treated from January 2018 to January 2021 were randomly divided into two groups according to the random number table method,with 80 patients in each group.Both groups received percutaneous kyphoplasty,the control group received calcium carbonate D3 tablets as adjuvant therapy,and the experimental group received compound traditional Chinese medicine Qianggu yin as adjuvant therapy.The two groups were compared in terms of treatment effect,TCM syndrome score and lumbar vertebra bone density at 6 and 12 months after surgery.Results:The total effective rate in the observation group was significantly higher than the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in TCM syndrome score and lumbar bone mineral density between the two groups(P>0.05).After treatment,the lumbar vertebra bone density was increased 6 months and 12 months after surgery in both groups,and the indexes in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the TCM syndrome scores in both groups were decreased,and the indicators in the observation group were significantly lower than the control group,the differences were statistically significant(P<0.05).Conclusion:The adjuvant treatment of compound traditional Chinese medicine Qianggu yin has significant curative effect on osteoporotic vertebral compression fracture,it can effectively relieve the patients’lumbar pain and other symptoms,with good safety,and its more popularization is conducive to improve the therapeutic effect and reduce the occurrence of adverse reactions.

关 键 词：复方中药强骨饮 骨质疏松性椎体压缩性骨折 临床效果 骨代谢水平 

分 类 号：R274.1[医药卫生—中医骨伤科学]