中药组方加味联合针灸推拿治疗胸腰椎压缩性骨折的临床疗效分析

Clinical efficacy of the TCM medicine plus acupuncture and massage on thoracolumbar compression fracture

目的:分析中药联合针灸推拿治疗胸腰椎压缩性骨折的临床疗效。方法:研究对象是我科收治且接受保守治疗的122例胸腰椎压缩性骨折病患,纳入时间范围是2017年3月-2018年7月。通过数字随机方法分为中医组和对照组,对照组采用传统保守治疗方法,中医组采用中药联合针灸推拿治疗,对比两组疼痛程度、恢复情况和临床疗效以及不同时间段中医证候积分变化情况。结果:对比中医组治疗4周、8周时视觉模拟评分法(Visual Analogue Scale,VAS)评分中医组高于对照组;经治疗后,治疗4周、治疗8周中医组患者中医证候积分均显著低于对照组,P<0.05。中医组优良率高于对照组,P<0.05。结论:中医保守治疗胸腰椎压缩性骨折可促进患者及早康复,减轻疼痛,减少不适反应,是值得应用的治疗策略。

Objective:To analyze clinical efficacy of the TCM medicine plus acupuncture and massage on thoracolumbar compression fracture.Methods:From March 2017 to July 2018,122 cases were divided into two groups.The control group was given conventional treatment,and the TCM group was given the TCM medicine plus acupuncture and massage.Results:At 4 and 8 weeks,VAS score in the TCM group was higher than that in the control group,and the TCM symptom scores were significantly lower than those in the control group,P<0.05.The excellent rate was higher than that in the control group,P<0.05.Conclusion:The TCM medicine plus acupuncture and massage on thoracolumbar compression fracture shows good effects,can reduce pain and adverse reactions.