金天格胶囊在老年骨质疏松椎体压缩性骨折中的应用

Application of Jintian'ge capsule in treatment of vertebral compression fracture in senile osteoporosis patients

探讨金天格胶囊在老年骨质疏松椎体压缩骨折中的临床应用。选择2012年1月—2014年6月浙江省立同德医院住院治疗的69例老年骨质疏松椎体压缩性骨折患者,将患者按照随机数表法分为对照组及治疗组,对照组接受经皮球囊扩张椎体后凸成形术(PKP)治疗,治疗组则在对照组治疗方案的基础上加用金天格胶囊进行治疗。分别在术前进行访视并在术后3个月进行随访,观察并比较2组患者的椎体高度、Cobb's、骨密度、视觉模拟评分(VAS)及Oswestry功能障碍指数。结果发现,与治疗前相比,2组患者在术后3个月随访时椎体高度、Cobb's角、骨密度、VAS评分及Oswestry功能障碍指数均较治疗前显著改善(P<0.05);在治疗后3个月进行随访时,与对照组相比,治疗组骨密度较治疗前及对照组均显著升高(P<0.05),椎体高度、VAS评分以及Oswestry功能障碍指数恢复更为明显(P<0.05)。基于以上结果可知金天格胶囊适用于骨质疏松椎体压缩性骨折PKP手术的辅助治疗,值得临床推广应用。

To study the clinical application of Jintian＇ge capsule in treatment of vertebral compression fracture in senile osteoporosis patients. In the study, 69 senile osteoporotic vertebral compression fracture patients hospitalized in our hospital between January 2012 and June 2014 were selected and randomly divided into the control group and the treatment group. Patients in the control group were treated by percutaneous kyphoplasty （PKP）, while those in the treatment group were given Jintian＇ge capsule in addition to PKP. Ef- forts were made to visit the patients before the surgery and in three month after that, observe and compared the vertebral height, Cobb＇s angle, bone density, visual analogue scale （VAS） and Oswestry disability index between patients in the two groups. According to the findings, compared with before the treatment, patients in the two groups showed significant improvements in the vertebral height, Cobb＇s angle, bone density, VAS and Oswestry disability index three months after the surgery （P 〈 0. 05） ; During the visit three months after the treatment, compared with the control group, the treatment group showed notable increases in all parameters （P 〈 0. 05）, particularly in the vertebral height, VAS and Oswestry disability index （P 〈 0. 05 ）. Based on the above findings, Jintian＇ge capsule is applicable in adjuvant therapy after the osteoporetic vertebral compression facture PKP surgery.