李剛中西医治疗骨质疏松性胸腰椎压缩性骨折疗效分析.docVIP

中西医治疗骨质疏松性胸腰椎压缩性骨折疗效分析 作者 【摘要】 目的 探讨应用中西医综合治疗骨质疏松性胸腰椎压缩性骨折的临床效果。 方法 选2007年1月至2010年12月中西医结合的方法治疗老年骨质疏松性胸腰椎压缩性骨折60例为观察组，观察组采取严格卧床、鲑鱼降钙素及骨化三醇治疗、中医辨证用药、物理治疗及功能锻炼等方法，并随机抽取同期骨质疏松性胸腰椎压缩性骨折60例为对照组，对照组采取卧硬板床、消炎镇痛等对症处理，测量观察组及对照组患者治疗前后骨密度、碱性磷酸酶、血清骨钙蛋白血清骨钙蛋白P ＞0.05），观察组患者经中西医抗骨质疏松治疗后骨密度变化与对照组相比显著增高（P ＜0.05），组碱性磷酸酶、血清骨钙蛋白P ＜0.05）。 结论 骨质疏松所致胸腰椎压缩性骨折患者，应用中西医结合积极治疗可明显改变患者骨密度及骨代谢指标，缓解患者疼痛，促进骨折愈合，是可靠的治疗方法。 【关键词】骨质疏松; 胸腰椎压缩性骨折; 中西医综合治疗 application of the integration of traditional Chinese medicine and western medicine on the treatment of aged osteoporotic thoracolumbar compression fracture [Abstract] Objective To explore the integration of traditional Chinese medicine and western medicine on the treatment of aged osteoporotic thoracolumbar compression fracture． Methods In this case series, from anuary 2007 to December 2010 , 60 cases of aged osteoporotic thoracolumbar compression fracture patients were chosen to be observation group. The patients in observation group were administrated with taking strict bed, taking salmon calcitonin and calcitriol, TCM drugs, physical therapy and functional exercise, and Randomly selected 60 cases of aged osteoporotic thoracolumbar compression fracture patients as controls. The patients in control group were administrated with lying hard bed, anti-inflammatory and analgesic treatment, we compared differences of the two groups with bone mineral density, alkaline phosphatase, serum osteocalcin changes. Results The two groups before treatment has no significant difference in bone mineral density, alkaline phosphatase, serum osteocalcin changes..（P＞0.05）After treatment, bone mineral density changes of observation group is significantly higher than control group, and alkaline phosphatase, serum osteocalcin changes significantly reduced.（P ＜0.05）. Conclusions For the patients of aged osteoporotic thoracolumbar compression fracture, the integration of traditional Chinese medicine and western medicine can make patients with significant changes in bone