摘要
目的:观察桃核承气加味汤联合后路减压植骨与椎弓根螺钉内固定术治疗胸腰椎骨折合并脊髓损伤患者的效果。方法:选取2021年1月至2022年10月该院收治的84例胸腰椎骨折合并脊髓损伤患者进行前瞻性研究,按照随机数字表法将其分为观察组(n=42)和对照组(n=42)。对照组采取后路减压植骨与椎弓根螺钉内固定术治疗,观察组在对照组基础上联合桃核承气加味汤治疗,比较两组围术期指标水平,术前及术后1、3个月美国脊髓损伤协会(ASIA)脊髓损伤评分,术前、术后1个月伤椎高度,以及术后1个月内并发症发生率。结果:观察组术后排气时间、下床活动时间和骨折愈合时间均短于对照组,差异有统计学意义(P<0.05);术后1、3个月,两组ASIA脊髓损伤评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);术后1个月,两组伤椎高度均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率为2.38%(1/42),低于对照组的19.05%(8/42),差异有统计学意义(P<0.05)。结论:桃核承气加味汤联合后路减压植骨与椎弓根螺钉内固定术治疗胸腰椎骨折合并脊髓损伤患者可降低围术期指标水平和术后并发症发生率,提高脊髓损伤评分和伤椎高度,效果优于后路减压植骨与椎弓根螺钉内固定术治疗。
Objective:To observe effects of Taohe Chengqi decoction combined with posterior decompression and bone grafting and pedicle screw internal fixation in treatment of patients with thoracolumbar fractures and spinal cord injuries.Methods:A prospective study was conducted on 84 patients with thoracolumbar fractures combined with spinal cord injuries admitted to this hospital from January 2021 to October 2022.They were divided into observation group(n=42)and control group(n=42)according to the random number table method.The control group was treated with posterior decompression and bone grafting and pedicle screw internal fixation,while the observation group was treated with Taohe Chengqi decoction on the basis of that of the control group.The levels of perioperative indicators,the spinal cord injury score developed by the American Spinal Injury Association(ASIA)before and 1 and 3 months after the surgery,the height of injured vertebrae before and 1 month after the surgery,and the incidence of complications within 1 month after the surgery were compared between the two groups.Results:The postoperative exhaust time,the ambulation time and the fracture healing time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).1 and 3 months after the surgery,the ASIA spinal cord injury scores of the two groups were higher than those before the surgery,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).1 month after the surgery,the height of injured vertebrae in the two groups was higher than that before the surgery,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of postoperative complications in the observation group was 2.38%(1/42),which was lower than 19.05%(8/42)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Taohe Chengqi de
作者
吴荣辉
张志承
苏城辉
WU Ronghui;ZHANG Zhicheng;SU Chenghuind(Department of Orthopedics of Longyan City Hospital of Traditional Chinese Medicine,Longyan 364000 Fujian,China)
出处
《中国民康医学》
2023年第15期98-101,共4页
Medical Journal of Chinese People’s Health
关键词
胸腰椎骨折
脊髓损伤
桃核承气加味汤
后路减压植骨
椎弓根螺钉内固定
伤椎高度
并发症
Thoracolumbar fracture
Spinal cord injury
Taohe Chengqi decoction
Posterior decompression and bone grafting
Pedicle screw internal fixation
Height of injured vertebra
Complication
