| 引用本文:刘伯昊，冼庆章，霍翰源.中西医结合治疗对脊柱压缩性骨折患者临床疗效、疼痛症状及骨折愈合效果的影响[J].世界中医药,2019,(07):. |
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| 中西医结合治疗对脊柱压缩性骨折患者临床疗效、疼痛症状及骨折愈合效果的影响 |
| Effects of Integrated Traditional Chinese and Western Medicine on Clinical Efficacy，Pain Symptoms and Fracture Healing of Patients with Spinal Compression Fracture |
| 投稿时间：2018-08-31 |
| DOI：10.3969/j.issn.1673-7202.2019.07.019 |
| 中文关键词: 脊柱压缩性骨折 骨折愈合 疼痛 骨密度 分阶段中药汤剂 骨折愈合 临床疗效 |
| English Keywords:Spinal compression fracture Fracture healing Pain Bone mineral density Staged Chinese herbal decoction Fracture healing Clinical efficacy |
| 基金项目:广东省中医药局课题（20152118） |
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| 中文摘要: |
| 目的：分析中西医结合治疗脊柱压缩性骨折的临床疗效，及对患者治疗过程中疼痛评分、骨折愈合效果的影响，为临床脊柱压缩性骨折患者的临床治疗方案的选择提供参考。方法：选取2016年9月至2018年8月广州市番禺区中医院收治的脊柱压缩性骨折患者138例作为研究对象，采取抽签法随机分为对照组和观察组，每组69例。2组患者均行日常生活指导、常规药物治疗及分阶段康复锻炼，观察组在常规治疗的基础上予以分阶段辨证中药汤剂辅助治疗。2组患者均以连续治疗2个月为1个疗程。比较2组患者治疗前、治疗3 d、治疗7 d、治疗1个月时疼痛评分（VAS）变化，治疗前、治疗后椎体前缘高度、矢状面指数、Cobb角变化比较，治疗前、治疗1个月、治疗2个月后骨密度变化，完成治疗后，2组患者骨折愈合临床疗效判断并比较。结果：1)2组患者治疗前VAS评分比较，差异无统计学意义（P>0.05），治疗3 d、7 d、1个月后2组患者VAS评分均较治疗前明显降低，且观察组低于对照组（P<0.05）。2）2组患者椎体在治疗前,椎体前缘高度、矢状面指数和Cobb的椎体角比较，差异无统计学意义（P>0.05)；治疗后2组患者的椎体前缘高度明显增加,且观察组高于对照组(P<0.05)，2组患者矢状面指数、Cobb角均较治疗前降低，且观察组均低于对照组(P<0.05)。3）2组患者治疗前骨密度比较，差异无统计学意义（P>0.05），治疗后1、2个月骨密度均较治疗前明显提升，且观察组均高于对照组（P<0.05）。4）完成治疗后观察组治疗有效率（94.4%）显著高于对照组（75.3%），2组比较差异有统计学意义（P<0.05）。结论：采用中西医结合治疗脊柱压缩性骨折患者，可有效降低患者治疗期间骨关节疼痛，提升骨密度，促进骨折结构恢复，提高临床治疗效果，具有较高的临床价值。 |
| English Summary: |
| To analyze the clinical effects of integrated traditional Chinese and Western Medicine on spinal compression fracture，and the effects of pain score and fracture healing in the course of treatment，so as to provide reference for clinical treatment of spinal compression fracture.Methods：A total of 138 patients with spinal compression fractures admitted in Guangzhou Panyu District Hospital of Traditional Chinese Medicine from September 2016 to August 2018 were selected as the research objects.They were randomly divided into an observation group and a control group by lottery，with 69 cases in each group.Two groups of patients were given daily life guidance，routine drug treatment and staged rehabilitation exercise.The observation group was given staged differentiation of traditional Chinese medicine decoction adjuvant treatment on the basis of the routine treatment.Two groups of patients were treated for 2 months for a course of treatment.The changes of pain score(VAS)before treatment，3 days after treatment，7 days after treatment and 1 month after treatment were compared between the 2 groups.The changes of anterior vertebral height，sagittal index and Cobb angle before and after treatment were compared.The changes of bone mineral density before treatment，1 month after treatment and 2 months after treatment were compared.After treatment，the curative effects on fracture in the 2 groups were determined and compared.Results：1)There was no significant difference in VAS score between the 2 groups before treatment(P>0.05).The VAS score of the 2 groups 3 days，7 days and 1 month after treatment was significantly decreased than that before treatment，and the observation group was significantly lower than that of the control group(P<0.05).2)Before treatment，there was no significant difference in the height of anterior vertebral body，sagittal index and Cobb vertebral angle in the 2 groups(P>0.05).After treatment，the height of anterior vertebral body of the 2 groups increased significantly，and the treatment group was higher than the control group(P<0.05)，and the sagittal index and Cobb angle of the 2 groups were lower than before treatment，and the observation group were lower than the control group(P<0.05).3)There was no significant difference in BMD before treatment between the 2 groups(P>0.05).After 1 month，2 months of treatment.bone mineral density(BMD)of the observation group was significantly higher than that of the control group(P<0.05).4)After treatment，the effective rate of the observation group(94.4%)was significantly higher than that of the control group(75.3%)(P<0.05).Conclusion：The treatment of spinal compression fracture with integrated traditional Chinese and western medicine can effectively reduce the pain of bone and joint，improve bone mineral density，promote fracture structure recovery，improve the clinical treatment effect，with high clinical value. |
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