低频疏密波联合接骨七厘片治疗腰椎压缩性骨折的临床效果

Clinical effect of low-frequency sparse-dense wave combined with Jiegu Qili Tablets in treatment of lumbar vertebral compression fractures

目的 观察低频疏密波联合接骨七厘片治疗腰椎压缩性骨折的临床效果.方法 选择2017年4月~2019年4月我院收治的50例骨质疏松性腰椎压缩性骨折患者,按照随机数字表法进行分组,对照组25例,观察组25例.对照组患者给予接骨七厘片治疗,观察组在对照组基础上联合低频疏密波治疗.观察两组治疗后的疗效,比较治疗前后视觉模拟量表(VAS)评分、骨密度及骨代谢指标水平的变化情况.结果 治疗后,观察组总有效率为92.00%,高于对照组的68.00%,差异有统计学意义(P<0.05);治疗后两组VAS评分均低于治疗前,且观察组低于对照组,两组骨密度水平均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05).治疗后两组Ⅰ型前胶原羧基端前肽(P Ⅰ CP)、骨钙素(BPG)、骨碱性磷酸酶(BALP)水平均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05).结论 低频疏密波联合接骨七厘片可有效缓解骨质疏松性压缩性骨折患者的疼痛情况,可加速骨骼愈合.

Objective To observe clinical effect of low-frequency sparse-dense wave combined with Jiegu Qili Tablets in treatment of lumbar vertebral compression fractures(LVCF).Methods Fifty patients with osteoporotic LVCF who were admitted to our hospital from April 2017 to April 2019 were enrolled.According to random number table method,they were divided into control group and observation group,25 cases in each group.The control group was treated with Jiegu Qili Tablets,while observation group was additionally treated with low-frequency sparse-dense wave.The curative effect of both groups after treatment was observed.The changes in scores of visual analogue scale(VAS),bone mineral density(BMD)and levels of bone metabolism indexes before and after treatment were compared.Results After treatment,the total effective rate of the observation group was 92.00%,which was higher than 68.00%of the control group,and the difference was statistically significant(P<0.05).After treatment,the VAS scores of both groups were lower than those before treatment,and the observation group was lower than the control group,the bone mineral density levels of both groups were higher than those before treatment,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).After treatment,the levels of typeⅠprocollagen carboxy-terminal pro-peptide(PⅠCP),osteocalcin(BPG)and bone alkaline phosphatase(BALP)of in the two groups were higher than those before treatment,and the levels in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Low-frequency sparse-dense wave combined with Jiegu Qili Tablets can effectively alleviate pain in patients with osteoporotic LVCF,and accelerate bone healing.