中西医结合治疗老年骨质疏松性胸腰椎压缩性骨折30例

Therapy of Integrated Medicine in the Treatment of Senile Osteoporotic Thoracolumbar Compression Fractures for 30 Cases

目的观察中西医结合治疗老年骨质疏松性胸腰椎压缩性骨折的临床疗效。方法选取2013年5月—2015年9月收治的60例老年骨质疏松性胸腰椎压缩性骨折患者作为研究对象,在患者知情同意下随机分为对照组及研究组各30例,对照组采取桃红四物汤治疗,研究组采取桃红四物汤+阿仑膦酸钠片联合用药治疗,比较两组患者临床疗效。结果研究组患者经桃红四物汤+阿仑膦酸钠片联合用药治疗后,总有效率90%,与对照组80%相比较,差异具有统计学意义(P<0.05);骨密度(Bone mineral density,BMD)、视觉模拟评分(Visual Analogue Scale/Score,VAS)评分方面,两组相比较,差异具有统计学意义(P<0.05)。结论中西医结合治疗老年骨质疏松性胸腰椎压缩性骨折疗效确切、效果显著,值得在临床治疗工作中推广使用。

Objective To observe the clinical curative effect of therapy of integrated medicine in the treatment of senile osteoporotic thoracolumbar compression fractures. Methods From May 2013 to September 2015, 60 cases of elderly patients with compression fractures were selected as the research objects, under the patients＇ informed consent, they were randomly divided into control group and study group, with 30 cases in each group. The control group used Taohong Siwu decoction. The study group used Taohong Siwu decoction and Allen phosphonic acid sodium tablets. The clinical effect of the two groups was compared. Results The total effective rate of the study group was 90%, the total effective rate of the control group was 80%, and there was statistically significant difference（P〈0.05）. Bone mineral density（ipads mineral density BMD） and Visual Analogue Scale（Visual Analogue Scale/Score, VAS） scores of the two groups had statistically significant difference（P〈0.05）. Conclusion The therapy of integrated medicine in the treatment of se-nile osteoporotic thoracolumbar compression fractures has definite curative effect, and is worth popularizing in clinical treatment.