伤科接骨片联合经皮穿刺骨水泥椎体成形术治疗老年骨质疏松性胸腰椎骨折患者的效果分析  

Effect Analysis of Shangke Jiegu Tablets Combined with Percutaneous Bone Cement Vertebroplasty in the Treatment of Elderly Patients with Osteoporotic Thoracolumbar Fractures

作　　者：廖伟柽 苏智婷 LIAO Weicheng;SU Zhiting(Department of Orthopedics,Luoding Sixth People’s Hospital,Yunfu 527300,China)

机构地区：[1]广东省罗定市第六人民医院骨外科,广东云浮527300

出　　处：《中国伤残医学》2025年第5期17-21,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨老年骨质疏松性胸腰椎骨折患者采用经皮穿刺骨水泥成形术联合伤科接骨片的治疗效果。方法:选择2023年1月—2024年6月罗定市第六人民医院收治的60例老年骨质疏松性胸腰椎骨折患者为研究对象,采用随机数字表法将其分为常规组及试验组,每组30例。常规组采用经皮穿刺骨水泥成形术治疗,试验组在常规组基础上采用伤科接骨片治疗。对比两组治疗效果、椎体高度、Cobb角、骨密度、并发症发生情况及术后疼痛程度。结果:试验组的治疗总有效率为96.67%,高于常规组的73.33%,差异有统计学意义(P<0.05)。术后8周,试验组的椎体高度高于常规组,Cobb角小于常规组,差异均有统计学意义(P<0.05)。术后8周,试验组的股骨颈、大转子、转子间骨密度水平均高于常规组,差异均有统计学意义(P<0.05)。试验组的并发症发生率为10.00%,低于常规组的30.00%,差异有统计学意义(P<0.05)。术后2、24h,试验组的疼痛视觉模拟评分均低于常规组,差异均有统计学意义(P<0.05)。结论:伤科接骨片联合经皮穿刺骨水泥成形术强化治疗老年骨质疏松性胸腰椎骨折的效果显著,能够有效改善患者的胸腰椎结构,增强其骨密度,降低术后并发症发生风险,具有较高的应用价值。Objective:To investigate the therapeutic effect of percutaneous bone cement vertebroplasty combined with Shangke Jiegu Tablets in elderly patients with osteoporotic thoracolumbar fracture.Methods:A total of 60 elderly patients with osteoporotic thoracolumbar fracture admitted to Luoding Sixth People’s Hospital from January 2023 to June 2024 were selected as the study objects,and were divided into a conventional group and an experimental group by random number table method,with 30 cases in each group.The conventional group was treated with percutaneous bone cement vertebroplasty,and the experimental group was treated with Shangke Jiegu Tablets on the basis of the conventional group.The treatment effect,vertebral height,Cobb angle,bone mineral density,the occurrence of complications and postoperative pain degree were compared between the two groups.Results:The total effective rate of the experimental group was 96.67%,which was higher than 73.33%of the conventional group,and the difference was statistically significant(P<0.05).Eight weeks after surgery,the vertebral body height of the experimental group was higher than that of the conventional group,and the Cobb angle was lower than that of the conventional group,the differences were statistically significant(P<0.05).Eight weeks after surgery,the bone mineral density levels of femoral neck,greater trochanter and intertrochanter in the experimental groups were higher than those in the conventional group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the experimental group was 10.00%,which was lower than 30.00%in the conventional group,the difference was statistically significant(P<0.05).At 2 and 24 h after surgery,the pain visual analogue scale scores of the experimental groups were lower than those of the conventional groups,the differences were statistically significant(P<0.05).Conclusion:Shangke Jiegu Tablets combined with percutaneous bone cement vertebroplasty can effectively improve the structure of thor

关 键 词：骨质疏松椎体压缩骨折 老年 经皮穿刺骨水泥成形术 伤科接骨片 

分 类 号：R687.3[医药卫生—骨科学]