椎旁肌入路内固定结合中药熏洗治疗胸腰椎骨折的临床疗效分析

Clinical Efficacy of Treatment in Patients with Thoracolumbar Fracture: Combined Paraspinal Muscle Approach Fixation with Herbal Fumigation

目的:探讨椎旁肌入路内固定结合中药熏洗治疗胸腰椎骨折的临床疗效。方法:胸腰椎骨折AO分型A1、A2型64例患者,分为椎旁肌入路+中药熏洗组(A组32例),椎旁肌入路组(B组32例),A组术后进行熏洗3个疗程,随访3个月～12个月。结果:A组总体有效率高于B组,2组比较差异具有统计学意义(P<0.05)。结论:腰痛洗伤方熏洗热熨活血祛瘀,行气止痛,椎旁肌入路对多裂肌创伤小,有利于术后功能恢复。两者结合可加快促进胸腰椎骨折术后功能恢复,减轻患者痛苦,是临床治疗的有效方法。

Objective：To detect the curative effect of treating thoracolumbar fracture via paraspinal muscle approach fixation combined with herbal fumigation. Methods：All 64 patients belong to type A1 and type A2 according to AO fracture classification were divided into two groups randomly, 32 cases in each group. Group A were treated with traditional Chinese medicine and paraspinal muscle approach fixation. Group 13 were treated with paraspinal muscle approach fixation. They were followed--up for three to twelve months. Results：The total effective rate of Group A was higher than Group B （P〈0.05）.Conclusion：Yaotongxishang fumigation decoction has the pharmacological action of activating circulation to remove blood stasis and promoting qi circulation to relieve pain. Paraspinal muscle approach is little invasive and can promote functional recovery of patients with thoracolumbar facture. Herbal fumigation combine with surgical fixation is an effective treatment.