评价3种常用中医药疗法对无神经损伤胸腰椎骨折的疗效

Three TCM therapies on thoracolumbar fractures without nerve injury

目的:研究3种常用中医药疗法对无神经损伤胸腰椎骨折的疗效。方法:以我院2013年1月-2016年2月无神经损伤胸腰椎骨折患者150例随机分三组。分别为A组、B组和C组,其中,A组采取中药内服外用方法,B组采取腰背部垫枕联合中药内服外用,C组采用功能锻炼联合中药内服外用。比较三组患者无神经损伤胸腰椎骨折治疗总有效率;迟发性临床症状发生率。结果:C组患者无神经损伤胸腰椎骨折治疗总有效率高于A组、B组,P<0.05,A组、B组无神经损伤胸腰椎骨折治疗总有效率无显著差异,P>0.05,其中,A组显效有25例,有效16例,无效9例,总有效率为82.00%;B组显效有26例,有效15例,无效9例,总有效率为82.00%;C组显效有38例,有效11例,无效1例,总有效率为98.00%。C组患者迟发性临床症状发生率低于A组、B组,P<0.05;A组、B组迟发性临床症状发生率无显著差异,P>0.05。其中,A组腰背部疼痛、躯干失去支撑感、神经损害各有12例、16例和3例,B组腰背部疼痛、躯干失去支撑感、神经损害各有12例、15例和3例,C组腰背部疼痛、躯干失去支撑感、神经损害各有3例、2例和1例。结论:3种常用中医药疗法对无神经损伤胸腰椎骨折的疗效均有效,但相对来说,功能锻炼联合中药内服外用效果更好,可有效改善运动节段功能,增强腰背肌肉力量,减少迟发性临床症状,值得推广。

Objective:To study the curative effect of three TCM therapies on thoracolumbar fractures without nerve injury.Methods:150patients with thoracolumbar fractures were randomly divided into three groups.Results:The total effective rate of thoracolumbarfractures in group C was higher than that in group A and B(P<0.05).A group of25cases,effective in16cases,9cases,the total effectiverate was82.00%;B group markedly effective in26cases,effective in15cases,9cases,the total effective rate was82.00%;38cases,effective in11cases,1case,the total effective rate was98.00%.The incidence of delayed clinical symptoms in group C was lower thanthat in group A and group B(P<0.05).Conclusion:Three TCM therapies are effective on thoracolumbar fractures without nerve injury,caneffectively improve the movement segment function,enhance the back muscles,reduce the delayed clinical symptoms.