首页|补肾还少膏联合常规抗骨质疏松方案治疗骨质疏松性椎体压缩性骨折经皮穿刺椎体成形术后患者疗效观察

补肾还少膏联合常规抗骨质疏松方案治疗骨质疏松性椎体压缩性骨折经皮穿刺椎体成形术后患者疗效观察

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目的 观察补肾还少膏联合常规抗骨质疏松方案治疗骨质疏松性椎体压缩性骨折(OVCF)经皮穿刺椎体成形术(PVP)术后患者的临床疗效.方法 将 60 例OVCF行PVP术治疗后患者按照随机数字表法分为 2 组,对照组30 例予口服碳酸钙D3 片抗骨质疏松治疗3 个月,治疗组30 例在对照组治疗基础上予补肾还少膏口服6 个月.通过术后6 个月随访,记录并比较2 组术前、术后1 天及术后6 个月伤椎前缘高度比、疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI),比较2 组术前和术后6 个月腰椎骨密度(BMD)及中医证候评分的变化.结果 2 组术后 1 天、术后 6个月伤椎前缘高度比均较本组术前升高(P<0.05),且治疗组术后6 个月均高于对照组同期(P<0.05).2 组术后1 天、术后6 个月疼痛VAS、ODI评分均较本组术前降低(P<0.05),且治疗组术后6 个月均低于对照组同期(P<0.05).2 组术后6 个月BMD均较本组术前升高(P<0.05),且治疗组术后6 个月高于对照组同期(P<0.05).2 组术后6 个月中医证候总分均较本组术前降低(P<0.05),且治疗组术后6 个月低于对照组同期(P<0.05).结论 补肾还少膏联合常规抗骨质疏松方案治疗OVCF PVP术后疗效确切,能减轻或消除腰背疼痛,增强骨密度,并降低中医证候评分,恢复腰椎功能,疗效显著.
Clinical effects of Bushen Huanshao Cream Formula with percutaneous vertebroplasty for osteoporotic vertebral com-pression fracture
Objective To observe the clinical effects of Bushen Huanshao Cream Formula with percutaneous vertebro-plasty(PVP)for osteoporotic vertebral compression fracture(OVCF).Methods Sixty OVCF patients were randomly assigned into treatment group(n=30)and control group(n=30).All patients were managed by oral calcium carbonate D3 tablets for 3 months after PVP,and those in treatment group were additionally treated with Bushen Huanshao Cream Formula for 6 months.A 6-month postoperative follow-up was performed.The aim was to compare anterior height ratio of injured vertebrae,visual ana-logue scale(VAS)score,Oswestry disability index(ODI),lumbar bone mineral density(BMD),traditional Chinese medicine(TCM)syndrome score between groups before and after treatment,and at 6 months postoperatively.Results The anterior height ratio of injured vertebrae at 1 day and 6 months postoperatively in the both groups was significantly increased(P<0.05),which at 6 months postoperatively in the treatment group was notably increased compared with the control group(P<0.05).VAS and ODI scores at 1 day and 6 months postoperatively in the both groups were significantly decreased(P<0.05),which at 6 months postoperatively in the treatment group were significantly lower than that in the control group(P<0.05).At 6 months postoperatively,significantly increased BMD,and decreased TCM syndrome score were found in the both groups(all P<0.05),and the treatment group was superior to the control group for BMD,TCM syndrome score(all P<0.05).Conclusion For OVCF patients,Bushen Huanshao Cream Formula with PVP has significant curative effect,which can reduce or eliminate low back pain,enhance bone density,reduce TCM syndrome scores,and restore lumbar spine function.

Vertebral compression fractureOsteoporo-sisIntegrated traditional Chinese and Western medicine therapy

高春鹏、翟轶凡、韩耀辉、赵斌、张冬雨、丁佶康、谢振航、郭三忠

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江苏省泰兴市中医医院骨伤科,江苏 泰兴 225400

椎体压缩性骨折 骨质疏松 中西医结合疗法

泰州市中医药科技发展项目

TZ202218

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(8)
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