五仁散热熨药枕配合后伸复位治疗老年性单纯胸腰椎骨折的临床疗效观察

Clinical Effect Observation of Five Kernel Cooling Iron Drug Pillow Combined with Back Stretching Reset in the Treatment of Senile Simple Thoracolumbar Fractures

目的:观察两种垫枕方法配合后伸复位法治疗老年单纯性胸腰椎骨折相关指标的改善情况。方法:选择2013年2月-2015年2月本院收治的老年单纯性胸腰椎骨折患者86例作为研究对象,采用随机数字表法将其分为治疗组和对照组,常规行后伸手法复位后,给予治疗组五仁散热熨药枕治疗,对照组给予普通棉花枕垫枕治疗,分析比较两组治疗前后疼痛评分、椎体前缘高度的压缩率、Cobb’s角及治疗效果。结果:治疗组治疗1、2、3周后VAS疼痛指数评分均低于对照组,两组比较差异有统计学意义(P<0.05);治疗组治疗2周及3个月的Cobb’s角及椎体前缘高度的压缩率均优于对照组,两组比较差异有统计学意义(P<0.05);治疗组出院时和3个月随访时治疗有效率均优于对照组,两组比较差异有统计学意义(P<0.05)。结论:五仁散热熨药枕配合后伸复位治疗单纯性老年压缩性骨折可明显减轻早期疼痛、增加骨折复位的效果。

Objective： To observe the improved conditions of related indexes of two pad methods combined with back stretching reset in the treatment of senile simple thoracolumhar fractures.Method： 86 patients with senile simple thoraeolumhar fractures in our hospital from February 2013 to February 2015 were selected md randomly divided into the treatment group and the control group.After the treatment of back stretching reset, the treatment group was treated with five kernel cooling iron drug pillow and the control group was treated with ordinary cotton pillow.The pain scores, anterior edge compression ratios, Cobb＇s angles and treatment effects before and after treatment of the two groups were compared.Result： lweek, 2 and 3 weeks after treatment, the VAS score of the treatment group was lower than that of the control group, the difference was statistically significant（ P〈O.05 ）.2 weeks and 3 months after treatment, the Cobb＇s angle and anterior edge compression ratio of the treatment group were better than those of the control group, the differences were statistically significant （P〈0.05） .The time when they left hospital and 3 months after treatment, the effect of the treatment group was better than that of the control group, the difference was statistically significant （ P〈0.05 ） .Conclusion： Five kernel cooling iron drug pillow combined with back stretching reset in the treatment of senile simple thoracolnmbar fractures can obviously reduce the early pain and increase the recovery effect.