首页|益肾强骨化瘀汤联合PVP治疗骨质疏松性脊椎压缩性骨折临床观察

益肾强骨化瘀汤联合PVP治疗骨质疏松性脊椎压缩性骨折临床观察

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目的 探讨骨质疏松性脊椎压缩性骨折(OVCF)患者应用益肾强骨化瘀汤联合经皮椎体成形术(PVP)治疗的效果.方法 采用随机数字表法将2020年8月-2022年2月于江西省婺源县人民医院就诊的OVCF患者60例分为观察组、对照组,各30例.两组均行PVP治疗,对照组术后予阿法骨化醇胶囊+碳酸钙片治疗,观察组加用自拟益肾强骨化瘀汤治疗,均连续治疗6周.对比两组临床疗效、疼痛程度、胸腰背部功能、椎体前缘高度、骨密度、骨代谢指标及不良反应发生情况.结果 观察组临床总有效率为96.67%(29/30),高于对照组的73.33%(22/30)(P<0.05).治疗后,观察组椎体前缘高度、骨密度高于对照组,视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分及骨碱性磷酸酶(BALP)、骨钙素(BGP)水平低于对照组(P<0.05).两组均未见明显不良反应.结论 益肾强骨化瘀汤联合PVP治疗OVCF,效果确切,有利于改善患者骨密度及骨代谢,缓解痛苦,加速胸腰部功能恢复进程,且安全性好,值得推广.
Yishen Qianggu Huayu Decoction Combined with PVP in the Treatment of Osteoporotic Vertebral Compression Fracture
Objective To investigate the effect of Yishen Qianggu Huayu decoction combined with percutaneous vertebroplasty(PVP)on patients with osteoporotic vertebral compression fracture(OVCF).Methods A total of 60 OVCF patients who visited Wuyuan County People's Hospital from August 2020 to February 2022 were divided into two groups by random number table,with 30 cases in each group.Both groups were treated with PVP,the control group was treated with alfacalcitol capsule and calcium carbonate after op-eration,and the observation group was treated with self-designed Yishen Qianggu Huayu decoction,both of which were continuously treated for 6 weeks.The clinical efficacy,pain degree,thoracolumbar back function,anterior edge height of vertebral body,bone den-sity,bone metabolism index and adverse reactions were compared between the two groups.Results The total effective rate of the obser-vation group was 96.67%(29/30),which was higher than that of the control group(73.33%,22/30)(P<0.05).After treatment,vertebral anterior margin height and bone mineral density in observation group were higher than those in control group,visual analogue scale(VAS)scores,Oswestry Disability Index(ODI)scores,bone alkaline phosphatase(BALP)and osteocalcin(BGP)levels in observation group were lower than those in control group(P<0.05).No obvious adverse reactions were observed in both groups.Conclusion Yishen Qianggu Huayu decoction combined with PVP in the treatment of OVCF has definite effective,is beneficial to improve bone mineral density and bone metabolism,alleviate the pain of patients,accelerate the recovery process of thoracolumbar function,and is safe and worthy of promotion.

atrophic debility of bonesosteoporosis vertebral compression fractureYishen Qianggu Huayu decoctionpercutaneous vertebroplastytherapy of integrated traditional Chinese and Western medicine

程联智、陈珍、俞志平

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江西省婺源县人民医院骨科,江西 婺源 333200

骨痿 骨质疏松性脊椎压缩性骨折 益肾强骨化瘀汤 经皮椎体成形术 中西医结合疗法

2025

中国中医药现代远程教育
世中联(北京)远程教育科技发展中心

中国中医药现代远程教育

影响因子:0.531
ISSN:1672-2779
年,卷(期):2025.23(1)