摘要
目的探讨补肾健骨汤联合椎体成形术治疗老年骨质疏松性胸腰椎压缩骨折疾病的临床疗效。方法 从我院2014年3月-2016年2月期间收治的老年骨质疏松性胸腰椎压缩骨折疾病者中抽取80例纳入研究,80例患者按入院单双顺序号分对照组（单纯性给予经皮椎体后凸成形术进行治疗）40例和研究组（补肾健骨汤联合椎体后凸成形术治疗）40例,比较两组治疗效果。结果 研究组治疗总有效率（92.50%）较对照组（80.00%）高,组间差异有统计学意义（P〈0.05）。两组患者治疗后Cobb角、骨密度状况比较,研究组优于对照组,组间差异有统计学意义（P〈0.05）;两组治疗前Cobb角、骨密度状况比较,差异无统计学意义（P〉0.05）。术后6个月VAS评分、ODI评分状况比较,研究组较对照组低,组间差异有统计学意义（P〈0.05）;但对比术前、术后1个月、术后3个月VAS评分、ODI评分状况,组间差异无统计学意义（P〉0.05）。结论 临床治疗老年骨质疏松性胸腰椎压缩骨折疾病将椎体成形术和补肾健骨汤联合使用,可提升远期治疗疗效,各功能改善显著,应用性和推广性较高。
Objective To study the clinical effect of Bushen Jiangu decoction combined with vertebroplasty in the treatment of osteoporotic thoracolumbar compression fracture in the elderly. Methods Among the elderly patients with osteoporotic thoracolumbar compression fracture who were admitted to our hospital from March 2014 to February 2016, 80 cases were included into the study. 80 patients were assigned to the control group of 40 patients（simple treatment with percutaneous kyphoplasty） and the study group of 40 patients （Bushen Jiangu decoction combined with kyphoplasty） ac- cording to the odd and even number of the admission order. The curative effect was compared between the two groups. Results The total effective rate was 92.50% in the study group, higher than 80.00% of the control group, and the dif- ference of the data between groups was statistically significant （P〈0.05）. Cobb angle and bone mineral density after the treatment were compared between the two groups, and the study group was better than the control group. The differences of the data between groups were statistically significant （P〈0.05）; there was no significant difference in Cobb angle and bone mineral density between two groups before treatment （P〉0.05）. The VAS score and ODI score in the study group were lower than those in the control group at 6 months after the surgery, and the differences of the data between groups were statistically significant （P〈0.05）; However, there was no significant difference in VAS score and ODI score between the two groups before the surgery, one month and three months after the surgery（P〉0.05）. Conclusion Vertebroplasty combined with Bushen Jiangu decoction can be considered in the clinical treatment of osteoporotic thoracolumbar compression fracture in the elderly, which can improve the long-term efficacy, with significant improvement in all functions, and higher applicability and popularizing significance.
出处
《中国现代医生》
2016年第36期84-87,共4页
China Modern Doctor
关键词
骨质疏松
老年
胸腰椎压缩骨折
补肾健骨汤
Osteoporotic
The elderly
Thoracolumbar compression fracture
Bushen Jiangu decoction
