内蒙古中医药2024,Vol.43Issue(3) :5-8.

复元活血汤加减联合经皮椎体后凸成形术治疗OVCF临床疗效观察

Clinical Observation of Fuyuan Huoxue Decoction Combined with Percutaneous Kyphoplasty in the Treatment of OVCF

江波 祝庆岭 徐寰 刘涛 盛炎炎 李文华
内蒙古中医药2024,Vol.43Issue(3) :5-8.

复元活血汤加减联合经皮椎体后凸成形术治疗OVCF临床疗效观察

Clinical Observation of Fuyuan Huoxue Decoction Combined with Percutaneous Kyphoplasty in the Treatment of OVCF

江波 1祝庆岭 1徐寰 2刘涛 2盛炎炎 2李文华2
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作者信息

  • 1. 安徽中医药大学第一临床医学院 安徽合肥 230031
  • 2. 安徽中医药大学第一附属医院骨伤二科 安徽合肥 230031
  • 折叠

摘要

目的:观察复元活血汤加减联合PKP术治疗OVCF临床疗效.方法:选取2022年6月-2023年6月就诊于安徽中医药大学第一附属医院骨伤科的64例OVCF患者作为研究对象,随机分为对照组和观察组,每组32例.对照组予以PKP术联合常规抗骨质疏松治疗,观察组在对照组基础上加用口服复元活血汤加减.比较两组临床疗效、疼痛视觉模拟评分(VAS评分)改善状况、双能X线吸收法(DXA)骨密度测量值、改良功能障碍指数问卷表(改良OD1)改善情况.结果:观察组治疗总有效率明显高于对照组,差异有统计学意义(P<0.05);观察组3月内疼痛改善情况、腰椎DXA骨密度T值改善情况、改良ODI等指标改善情况均优于对照组,且差异均有统计学意义(P<0.05).结论:复元活血汤加减联合PKP术能加速OVCF的临床愈合,改善疼痛症状,提高老年患者生活质量.

Abstract

Objective:To observe the clinical efficacy of Fuyuan Huoxue decoction combined with PKP in the treatment of OVCF.Methods:64 OVCF patients who were admitted to the Department of Orthopaedics and Traumatology of the first affiliated Hospital of An-hui University of traditional Chinese Medicine from June 2022 to June 2023 were randomly divided into control group(n=32)and obser-vation group(n=32).The control group was treated with PKP combined with routine anti-osteoporosis treatment,while the observation group was treated with oral Fuyuan Huoxue decoction on the basis of the control group.The clinical efficacy,pain visual analogue score(VAS),bone mineral density(BMD)measured by dual energy X-ray absorptiometry(DXA)and modified dysfunction index questionnaire(modified ODI)were compared between the two groups.Results:The total effective rate of the observation group was significantly higher than that of the control group,and the improvement of pain,lumbar DXA bone mineral density T value and modified ODI within 3 months in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Fuyuan Huoxue decoction combined with PKP can accelerate the clinical healing of OVCF,improve the symptoms of pain and improve the quality of life of elderly patients.

关键词

骨质疏松/OVCF/复元活血汤加减/PKP术

Key words

Osteoporosis/OVCF/Fuyuan Huoxue decoction/PKP operation

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出版年

2024
内蒙古中医药
内蒙古自治区中医药学会,内蒙古自治区中蒙医研究所

内蒙古中医药

影响因子:0.444
ISSN:1006-0979
参考文献量27
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