摘要
目的探究黄龙汤治疗骨质疏松性胸腰椎压缩性骨折经皮椎体成形术患者的临床疗效。方法选取2017年2月—2019年2月接受经皮椎体成形术治疗的66例骨质疏松性胸腰椎压缩性骨折患者,采用随机数字表法分为2组,各33例。对照组采用麻仁软胶囊治疗,在此基础上,观察组采用黄龙汤治疗,比较2组临床疗效、疼痛水平、不良反应发生率。结果治疗后,2组治疗便秘效果相比,观察组优于对照组,差异有统计学意义(P<0.05);治疗后,2组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);2组不良反应发生率相比,差异无统计学意义(P>0.05)。结论骨质疏松性胸腰椎压缩性骨折患者经皮椎体成形术治疗后采用黄龙汤治疗可改善患者便秘情况,降低患者疼痛水平,且安全性较高。
Objective To explore the clinical effect of Huanglong decoction in treating patients with osteoporotic thoracolumbar vertebral compression fractures and vertebroplasty.Methods Sixty-six patients with osteoporotic thoracolumbar vertebral compression fractures who underwent percutaneous vertebroplasty in our hospital from February 2017 to February 2019 were divided into two groups by random number table method,with 33 cases in each.The control group was treated with Maren soft capsule.Based on this,the observation group was treated with Huanglong decoction.The clinical efficacy,pain level and incidence of adverse reactions were compared between the two groups.Results After treatment,the effect of the two groups on constipation was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the VAS scores of the two groups were lower than before the treatment,and the observation group was lower than the control group.The difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Huanglong decoction in the treatment of osteoporotic thoracolumbar vertebral compression fractures with percutaneous vertebroplasty can improve constipation,reduce pain levels,and has higher safety.
作者
杨明吾
YANG Mingwu(Orthopedics Department,Taian Hospital of Traditional Chinese Medicine,Shandong Province,Tai'an 271000,China)
出处
《光明中医》
2020年第18期2867-2869,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
腰痛
骨痹
骨质疏松
胸腰椎压缩性骨折
经皮椎体成形术
黄龙汤
中医药疗法
lumbago
bone rheumatism
osteoporosis
thoracolumbar compression fracture
percutaneous vertebroplasty
Huanglong decoction
therapy of TCM
