健腰壮骨汤辅治老年骨质疏松性胸腰椎骨折的疗效

Efficacy of the Jianyao Zhuanggu decoctionon osteoporotic thoracolumbar fractures in the elderly

目的:研究老年骨质疏松性胸腰椎骨折患者临床治疗中辅助应用中药健腰壮骨汤的效果。方法:随机将2018年1月-2019年2月老年骨质疏松性胸腰椎骨折100例患者分为两组,对照组50例仅常规接受手术治疗,中药联合组50例在手术基础上辅助应用中药健腰壮骨汤治疗,比较两组治疗效果。结果:中药联合组治疗后主症与次症各评分均低于对照组,P<0.05;中药联合组治疗后功能状态评分为(13.51±3.40)分,优于对照组(18.95±4.32)分,P<0.05;中药联合组患者术后1周、2周、4周疼痛评分均低于对照组,P<0.05,中药联合组患者治疗后1、2个月生活质量评分为(65.24±5.52)分、(73.64±6.29)分,对照组为(60.88±5.17)分、(67.84±5.93)分,P<0.05。结论:老年骨质疏松性胸腰椎骨折治疗中配合应用健腰壮骨汤能够加快症状改善,加快术后骨折愈合,改善患者功能状态,促进患者康复。

Objective:To study the efficacy of the Jianyao Zhuanggu decoction(健腰壮骨汤)on osteoporotic thoracolumbar fractures in elderly patients.Methods:100 elderly patients were divided into two groups.50 patients in the control group received conventional surgery only,and 50 patients in the combined group were applied the Jianyao Zhuanggu decoction more.Results:The scores of major and minor symptoms after treatment in the combined group were lower than those in the control group,P﹤0.05.The functional status score in the combined group(13.51±3.40)was better than(18.95±4.32)in the control group,P﹤0.05.The pain scores in the combination group were lower than those in the control group at 1 week,2 weeks,and 4 weeks after operation,P﹤0.05.The quality of life scores in the combination group were(65.24±5.52)and(73.64±6.29)in 1 and 2 months,and those in the control group were(60.88±5.17),(67.84±5.93),P﹤0.05.Conclusion:The Jianyao Zhuanggu decoction on osteoporotic thoracolumbar fractures was effective can accelerate the improvement of symptoms,accelerate postoperative fracture healing,improve the functional status,and promote rehabilitation.