地龙舒腰汤联合wiltse入路治疗胸腰段骨折临床疗效观察  

Clinical Observation on the Efficacy of Dilong Shuyao Decoction Combined with Wiltse Approach in the Treatment of Thoracolumbar Fractures

作　　者：曾招升 赵光辉 于其华 熊恒 李坤 赵国育 陈星 ZENG Zhaosheng;ZHAO Guanghui;YU Qihua;XIONG Heng;LI Kun;ZHAO Guoyu;CHEN Xing(Anhui University of Chinese Medicine,Anhui Hefei 230012,China;Taihe Hospital of Traditional Chinese Medicine Affiliated of Anhui University of Traditional Chinese Medicine,Anhui Taihe 236600,China)

机构地区：[1]安徽中医药大学研究生院,安徽合肥230012 [2]安徽中医药大学附属太和中医院,安徽太和236600

出　　处：《中医药临床杂志》2025年第2期358-364,共7页Clinical Journal of Traditional Chinese Medicine

基　　金：于其华全国名老中医工作室(国中医药人教函[2022]75号)。

摘　　要：目的:观察地龙舒腰汤联合wiltse入路对胸腰段骨折患者的临床疗效。方法:将符合标准的100例患者随机分为2组,对照组50例,中药组50例。对照组采用wiltse肌间隙入路方法治疗胸腰段骨折,中药组在对照组的基础上加用地龙舒腰汤,持续治疗30d,分别观察统计患者伤椎Cobb角度和伤椎高度、功能障碍指数问卷表评分(Oswestry functional Disability Index,ODI),疼痛视觉模拟评分(visual analogue scale,VAS),中医疗效评定等数据。结果:①术前,2组患者疼痛程度,胸腰椎功能评分,Cobb角度,伤椎高度,中医疗效评价等比较,差异无统计学意义(P>0.05)。②术后2组患者疼痛水平(VAS)均低于术前,中药组疼痛程度低于对照组,差异有统计学意义(P<0.05)。③术后2组患者ODI评分均低于术前,且中药组低于对照组,差异有统计学意义(P<0.05)。④2组椎体前缘高度百分比均显著高于术前(P<0.05),Cobb角显著低于术前(P<0.05)。⑤术后30d中药组有效率为94.00%高于对照组的82.00%。结论:相较于单用wiltse入路手术治疗胸腰椎骨折患者而言,加用地龙舒腰汤后患者能更加有效缓解腰椎疼痛,促进胸腰椎功能恢复,在提高患者康复疗效方面效果显著,临床上值得推广。Objective:To observe the clinical efficacy of Dilong Shuyao Decoction combined with Wiltse approach in the treatment of thoracolumbar fractures.Methods:One hundred patients who met the criteria were randomly divided into two groups,one group was the control group and the other group was the Chinese medicine group,with 50 cases in each group.The control group was treated with the Wiltse intermuscular approach for the treatment of thoracolumbar fractures,and the Chinese medicine group was treated with Dilong Shuyao Decoction on the basis of the control group.The treatment lasted for 30 days,and the Cobb angle and height of the injured vertebra,Oswestry functional Disability Index(ODI)questionnaire score,visual analogue scale(VAS),and TCM efficacy evaluation of the patients were observed and statistically analyzed.Results:①Before operation,there was no significant difference in the pain degree,thoracolumbar function score,Cobb angle,height of the injured vertebra,and TCM efficacy evaluation between the two groups(P>0.05).②The pain level(VAS)of the two groups after surgery was lower than that before surgery,and the pain level of the Chinese medicine group was lower than that of the control group,with statistically significant differences(P<0.05).③The ODI scores of the two groups after surgery were lower than those before surgery,and the Chinese medicine group was lower than the control group,with statistically significant differences(P<0.05).④The percentage of the anterior edge height of the vertebral body in the two groups was significantly higher than that before surgery(P<0.05),and the Cobb angle was significantly lower than that before surgery(P<0.05).⑤The effective rate of the Chinese medicine group 30 days after surgery was 94.00%,which was higher than 82.00%in the control group.Conclusion:Compared with the treatment of thoracolumbar fractures with the Wiltse approach alone,the addition of Dilong Shuyao Decoction can more effectively relieve lumbar pain and promote the recovery of thoracolumbar functi

关 键 词：wiltse入路 地龙舒腰汤 胸腰椎骨折 

分 类 号：R274.13[医药卫生—中医骨伤科学]