补肾壮骨汤联合椎体成形术对骨质疏松脊柱骨折患者功能恢复的作用.docxVIP

补肾壮骨汤联合椎体成形术对骨质疏松脊柱骨折患者功能恢复的作用 吴荣光 湖北省巴东县屮医医院444300 【摘 要】冃的：探讨补肾壮骨汤联合椎体成形术对骨质疏松脊柱骨折患者 功能恢复的影响。方法：选取2011年1月?2014年12月来我院诊治的骨质疏 松脊柱骨折患者80例，采用双肓法随机分为观察组和对照组，每组40例。对照 组患者给予经皮椎体成形术治疗，观察组在对照组治疗的基础上给予补肾壮骨汤 治疗,均治疗6个月；观察并记录两组患者治疗前后的疼痛视觉模拟评分(VSA)、 功能障碍指数(ODI)、Cobb角及伤椎前中柱椎体高度的变化情况。结果：两组 患者在治疗前VSA评分、0DI评分、Cobb角及伤椎前中柱椎体高度等指标相比， 差异无统计学意义(Pgt;0.05)o治疗后，观察组患者治疗6个月、12个月后Cobb 角及伤椎前屮柱椎体高度均比治疗前有明显改善(PV0.05),而对照组患者6个 月、12个月后Cobb角及伤椎前屮柱椎体高度与治疗前没有差异(P0.05),观 察组此两项指标优于对照组(P0.05)；两组患者治疗1、3个月后VSA评分、 0DI评分相比差异无统计学意义(Pgt;0.05)；治疗后6个月，观察组患者的VSA 评分、0DI评分显著低于对照组患者(Plt;0.05)o结论：补肾壮骨汤联合椎体成 形术治疗骨质疏松脊柱骨折，可以显著的缓解患者的疼痛，恢复患者的脊椎功能, 提高治疗效果，安全有效，值得临床推广。 【关键词】补肾壮骨汤；椎体成形术；骨质疏松脊柱骨折；功能恢复 【屮图分类号1R683.2 【文献标识码］B 【文章编号11674-8999(2015 ) 9-0506-02 Effect of Bushe nzhuangguta ng combi ned vertebroplasty on function al recovery of osteoporotic spinal fractures 【Abstract] Objective: To discuss the effect of Bushenzhuanggutang combined vertebroplasty on functional recovery of osteoporotic spinal fractures.Method:80 cases of osteoporotic spinal fractures treated in our hospital from January 2011 to December 2014 were randomly divided into observation group and control group(40 cases in each group) with double-blind method.The control group was given percutaneous vertebroplasty,while the observation group was given Bushenzhuanggutang on the basis of the control group,they were treated for six months;Visual analogue scale (VSA), disability index (ODI), Cobb angle and previous column vertebral height of the two groups before and after treatment were observed ?Results:The d iff ere nces of VSA score, ODI score, Cobb angle and vertebral height before treatment were not statistically significant(Pgt; 0.05).After treatment, Cobb angle and previous column vertebral height of the observat:ion group were improved sign讦icantly in 6,12 months(P lt;0.05),while Cobb angle and previous column vertebral height of the control group were not statistically significant(Pgt; 0.05) compared to before treatment.The two indexes of observation