手术结合中药针灸辨证施治对胸腰段椎体骨折合并脊髓损伤的疗效分析

Efficacy of Surgery Combined Traditional Chinese Acupuncture for Thoracolumbar Fracture and Spinal Cord Injury

目的：探讨脊柱胸腰段骨折合并脊髓损伤的中西医结合治疗疗效。方法：选择天津市人民医院脊柱科2012年10月~2013年10月脊柱胸腰段骨折合并脊髓损伤的患者28例,其中完全截瘫11例,不完全截瘫17例。分别对其进行西医后路椎弓根钉内固定,结合中医汤药加减及针灸辩证治疗。结果：不完全截瘫治疗后均恢复良好,没有遗留明显肢体功能障碍;完全截瘫病人中4例恢复良好,仅遗留轻微感觉障碍;剩余7例有不同程度的功能障碍.结论：中西医结合治疗脊柱胸腰段骨折合并脊髓损伤可尽可能减少术后创伤反应,促进骨愈合,提高康复效率,且疗效显著,值得探讨应用。

Objective： To investigate integrative therapy for the thoracolumbar spine fracture and spinal cord injury. Methods： 28 Cases of thoracolumbar fracture and spinal cord injury were selected from spine surgery department of Tianjin people＇s hospital from October 2012 to October 2013, including 11 cases of complete paraplegia, 17 cases of incomplete paraplegia. Western medicine was given to the patients by posterior pedicle internal fixation, combined with TCM decoction dialectical therapy and acupuncture. Results： Incomplete paraplegia recovered well after treatment, there was no obvious physical dysfunction; completely paraplegic patient recovered well in four cases, only minor residual sensory disturbances; the remaining seven cases had different degrees of dysfunction. Conclusion： The combination therapy for the spine thoracotumbar fracture and spinal cord injury can minimize postoperative traumatic reaction, and promote bone healing and recovery efficiency, it is worth exploring clinical practice.