正骨手法联合桃核承气汤在无神经症状的胸腰椎压缩性骨折早期治疗中的应用效果

Application effect of bone-setting manipulation combined with Taohe Chengqi Decoction in early treatment of thoracolumbar compressibility fracture without neurologic symptoms

目的探讨正骨手法联合桃核承气汤在无神经症状的胸腰椎压缩性骨折早期治疗中的应用效果。方法选取2017年6月~2020年6月九江市中医医院收治的80例无神经症状的胸腰椎压缩性骨折患者作为研究对象,采用随机数字表法分为对照组和观察组,每组各40例。对照组采用腰背部垫软枕治疗,观察组采用正骨手法联合桃核承气汤治疗。比较两组的治疗总有效率,比较治疗前后椎体前缘高度、后凸角度以及腰椎功能[Oswestry功能障碍指数问卷表(ODI)],并记录两组并发症发生情况。结果观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,两组椎体前缘高度高于本组治疗前,后凸角角度小于本组治疗前,ODI评分低于本组治疗前,且观察组椎体前缘高度高于对照组,观察组的后凸角度小于对照组,观察组的ODI评分低于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论正骨手法联合桃核承气汤早期治疗无神经症状的胸腰椎压缩性骨折的效果较好,可提高椎体前缘高度,减小后凸角角度,且安全性较高。

Objective To explore the application effect of bone-setting manipulation combined with Taohe Chengqi Decoction in early treatment of thoracolumbar compressibility fracture without neurologic symptoms.Methods A total of 80 patients with thoracolumbar compressibility fracture without neurologic symptoms admitted to Jiujiang Traditional Chinese Medicine Hospital from June 2017 to June 2020 were selected as the research objects.The patients were divided into the control group and the observation group according to random number table method,with 40 cases in each group.The control group was treated with low back cushion soft pillow,and the observation group was treated with bone-setting manipulation combined with Taohe Chengqi Decoction.The total effective rate was compared between the two groups,the anterior height of vertebral bodies,the posterior salient angle and the lumbar spine function(Oswestry dysfunction index[ODI])before and after treatment were compared between the two groups,and the complications of the two groups were recorded.Results The total effective rate of treatment in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).After treatment,the anterior height of vertebral bodies of two groups was higher than that before treatment,the posterior salient angle of two groups was smaller than that before treatment,the ODI score of two groups was lower than that before treatment,and the anterior height of vertebral bodies in the observation group was higher than that in the control group,the posterior salient angle in the observation group was smaller than that in the control group,the ODI score in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The effect of bone-setting manipulation combined with Taohe Chengqi Decoction in early treatment of thoracolumbar compressibility fracture without neurologic symptoms is better.It could improve the anterior height of vertebral bodies,reduce the posterior salient angle,and have high safety.