中医体疗与PVP治疗腰椎骨质疏松性骨折的疗效观察

Clinical efficacy of TCM physical therapy plus PVP on the lumbar osteoporotic fractures

目的:分析有效治疗腰椎骨质疏松性骨折的可靠方法,从而为临床治疗提供借鉴和参考依据。方法:将我院临床收治的腰椎骨质疏松性骨折患者132例,随机分成了中医体疗组和经皮椎体成形术组,每组患者66例。分别实施中医体疗和经皮椎体成形术。对两组患者的骨碱性磷酸酶(ALP)、血骨钙素(BGP)、尿吡啶啉(U-Pyd/Cr)指标进行分析,对治疗效果进行研究。结果:两组患者实施治疗前的各项骨代谢生化指标,组间比较差异均无显著统计学意义(P>0.05);治疗后的各项骨代谢生化指标,中医体疗组患者的指标均明显优于皮椎体成形术组患者,组间比较差异均具有显著统计学意义(P<0.05);两组患者临床总有效率组间比较差异不大,且数据比较差异无显著统计学意义。结论:临床针对腰椎骨质疏松性骨折患者实施治疗的过程中采用中医体疗的临床治疗方法较好,具有一定的临床推广价值。

Objective： To analyze reliable method for lumbar osteoporotic fractures, so as to provide reference for clinical treatment. Methods： 132 cases were randomly divided into a group of TCM physical therapy and percutaneous vertebroplasty group, 66 patients in each group. TCM physical therapy and percutaneous vertebroplasty were carried out in the different groups. ALP, BGP, U-Pyd/Cr indicators were analyzed to study the effect. Results： In two groups, the implementation of bone metabolism were similiar before treatment（P〈0.05）; the bone metabolism after treatment, TCM physical therapy were significantly better to percutaneous vertebroplasty; the difference showed statistical significance（P〈0.05）. Conclusion： The clinical procedure for lumbar osteoporotic fractures could take TCM physical therapy better, with clinical value.