首页|吴门医派手法治疗胸腰椎压缩性骨折临床研究

吴门医派手法治疗胸腰椎压缩性骨折临床研究

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目的:通过观察吴门医派手法保守治疗胸腰椎骨折的临床疗效以及影像学指标,探索吴门医派手法治疗胸腰椎骨折临床的疗效.方法:选择胸腰椎压缩骨折患者 80 例,采用随机数字表法分为治疗组与对照组,每组 40 例,对照组患者行常规保守治疗,治疗组在常规保守治疗的基础上采用吴门医派手法治疗,比较 2 组患者治疗前、治疗后3d、治疗后 3 月、末次回访的VAS评分、Oswestry功能障碍指数、伤椎局部后凸角、椎体楔角和椎体前缘高度比以及末次随访时影像学指标变化以及中医症候评分.结果:治疗组有效率为 95%,对照组为 80%,差异具备统计学意义;2 组患者术前VAS腰痛评分、ODI指数比较,差异不具备统计学意义;2 组患者治疗后 3d、治疗后 3 月、末次回访VAS腰痛评分、ODI指数比较,治疗组VAS腰痛评分、ODI指数明显低于对照组,差异有统计学意义;治疗前治疗组患者以及对照组患者的局部后凸角、椎体楔形角、椎体前缘高度比较,差异不具备统计学意义;治疗后治疗组患者以及对照组患者的局部后凸角、椎体楔形角、椎体前缘高度比较,治疗组影像学指标优于对照组,差异具备统计学意义;治疗前、后治疗组患者与对照组患者的局部后凸角丢失度、椎体楔形角丢失度、椎体前缘高度丢失值比较,治疗组明显低于对照组,差异有统计学意义.结论:吴门医派手法在治疗胸腰椎压缩性骨折能够有效缓解患者疼痛,可恢复一定的椎体高度,具有操作简单、并发症少、安全性高等优点.
Clinical Study on Treatment of Thoracolumbar Vertebral Compression Fractures with Manipulation of Wu Men Medical School
Objective:To explore the clinical efficacy and imaging indexes of Wumen manual conservative treatment of thoracic and lumbar fractures by observing the clinical efficacy and imaging indicators of Wumen medical manipu-lation in the treatment of thoracic and lumbar vertebral fractures.Methods:Eighty patients with thoracic and lumbar compression fracture were randomly divided into treatment group and control group by random number table method,40 casesin each group,the control group patients underwent conventional conservative treatment,and the treatment group wastreated by Wumen Yipai manipulative treatment on the basis of conventional conservative treatment,and the VAS score,Oswestry dysfunction index,local kyphosis angle of the injured vertebra,and the two groups were compared before treatment,3 days after treatment,3 months after treatment,and the last return visit.The height ratio of vertebral-wedge angle to the anterior edge of vertebral body,changes in imaging indexes at last follow-up,and TCM symptom-score.Results:The total effective rate of the treatment group was 95%and the control group was 80%,the difference-was statistically significant,There was no significant difference in preoperative VAS and ODI index between the two groups.The VAS and ODI index of the two groups were significantly lower than those in the control group 3 days after treatment,3 months after treatment,and at the last follow-up,and the difference was statistically significant.Before treatment,the local kyphosis,vertebral wedge angle and anterior edge height were not statistically significant.After treatment,the local kyphosis,vertebral wedge angle and anterior edge height of the two groups were compared,and the imaging indexes of the treatment group were better than those of the control group,and the difference was statistically significant.The local kyphotic angle loss,vertebral wedge angle loss and vertebral anterior edge height loss between the two groups before and after treatment were significantly lower in the treatment group than in the control group,and the difference was statistically significant.Conclusio:The Wumen medical method can effectively relieve the pain of patients in the treatment of thoracic and lumbar compression fractures,restore a certain vertebral height,and have the advantages of simple operation,few complications and high safety.

Thoracolumbar compression fractureWumen medical techniqueConservative treatment

李稳超、李红卫、张先达、李宇卫

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安徽中医药大学研究生院 安徽合肥 230000

江苏省苏州市中医医院 江苏苏州 215000

胸腰椎压缩性骨折 吴门医派手法 保守治疗

江苏省科教能力提升工程:江苏省医学重点学科/实验室建设单位苏州市卫生健康委员会科技项目江苏省老年健康科研项目

苏卫科教[2022]17号LCZX202113LKM2022055

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(1)
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