骨疏康方联合经皮穿刺椎体成形术治疗骨质疏松性椎体压缩性骨折临床观察  

Gushukang Prescription Combined with Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fracture

作　　者：郭基圳 GUO Jizhen(Department of Trauma Surgery,Taihe County Hospital of Traditional Chinese Medicine,Jiangxi Province,Taihe 343700,China)

机构地区：[1]江西省泰和县中医院创伤外科,江西泰和343700

出　　处：《中国中医药现代远程教育》2025年第2期135-138,共4页Chinese Medicine Modern Distance Education of China

摘　　要：目的探究骨疏康方联合经皮穿刺椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折(OVCF)的效果。方法利用计算机随机分组法将2020年3月—2023年3月在泰和县中医院住院符合标准的62例OVCF患者分为对照组和观察组,各31例。对照组予PVP+常规药物治疗,观察组予PVP+骨疏康方,持续治疗3个月并比较两组的治疗效果。结果观察组治疗总有效率为96.8%(30/31),高于对照组的80.6%(25/31)(P<0.05)。治疗后观察组骨密度恢复程度高于对照组(P<0.05),椎体Cobb角小于对照组(P<0.05);观察组中医证候积分明显低于对照组(P<0.05),椎体骨折愈合所需时间远远短于对照组(P<0.05);观察组Oswestry功能障碍指数(ODI)及视觉模拟量表(VAS)评分均低于对照组(P<0.05)。结论骨疏康方联合PVP治疗OVCF具有更好的效果,能改善骨质疏松、减少骨折愈合的时间、有效减轻腰部疼痛。Objective To explore the effect of Gushukang prescription combined with percutaneous vertebroplasty in the treatment of senile vertebral compression fracture.Methods A total of 62 patients with osteoporotic spinal fracture admitted to Taihe County Hospital of Traditional Chinese Medicine from March 2020 to March 2023 were divided into control group and observation group,with 31 cases in all.The control group was given percutaneous vertebroplasty and conventional drug treatment,and the observation group was given percutaneous vertebroplasty and Gushukang prescription for 3 months.The therapeutic effects of the two groups were compared.Results The total effective rate of the observation group was 96.8%(30/31),which was higher than that of the control group(80.6%,25/31)(P<0.05).After treatment,the recovery degree of bone mineral density in observation group was higher than that in control group(P<0.05),and the Cobb Angle of vertebral body was lower than that in control group(P<0.05).The TCM syndrome score of the observation group was significantly lower than that of the control group(P<0.05),and the healing time of vertebral fracture was much shorter than that of the control group(P<0.05).The scores of Oswestry Disability Index(ODI)and Visual Analogue Scale(VAS)in observation group were lower than those in control group(P<0.05).Conclusion Gushukang prescription combined with percutaneous vertebroplasty has better efficacy in the treatment of senility vertebral compression fracture,improving osteoporosis,slowing down the healing time of fracture,and effectively reducing lumbar pain.

关 键 词：骨痹 骨质疏松性椎体压缩性骨折 椎体成形术 骨疏康方 

分 类 号：R687.3[医药卫生—骨科学]