补肾健骨汤联合西药治疗老年人骨质疏松性胸腰椎压缩性骨折临床研究

Clinical Study of Bushen Jiangu Decoction Combined with Western Medicine in the Treatment of Elderly Patients with Osteoporotic Thoracolumbar Compression Fractures

目的:分析老年人骨质疏松性胸腰椎压缩性骨折在接受西药治疗的同时,采用补肾健骨汤进行治疗的效果。方法:选取解放军联勤保障部队第900医院2017年12月至2020年12月期间收治的90例老年骨质疏松性胸腰椎压缩性骨折患者,根据患者采用的治疗方案将其分为对照组与观察组,各45例。对照组纳入采用西药治疗的患者,观察组纳入采用补肾健骨汤联合西药治疗的患者。比较两组患者临床疗效及椎管侵占率、椎体前缘高度、Cobb角。结果:观察组患者治疗总有效率为95.56%,高于对照组的82.22%,差异具有统计学意义(P<0.05)。治疗后观察组患者的椎管侵占率低于对照组,椎体前缘高度高于对照组,Cobb角小于对照组,差异具有统计学意义(P<0.05)。结论:老年人骨质疏松性胸腰椎压缩性骨折在接受常规西药治疗的同时,联合补肾健骨汤进行治疗能够促进胸腰椎状况的改善、提高治疗效果。

Objective To analyze the effect of Bushen Jiangu decoction in the treatment of osteoporotic thoracolumbar compression fractures in the elderly while receiving western medicine.Methods 90 elderly patients with osteoporotic thoracolumbar compression fractures treated in the 900th Hospital of the PLA Joint Logistic Support Force from December 2017 to December 2020 were selected and divided into a control group and a observation group,with 45 cases in each group.The control group included patients treated with western medicine,and the observation group included patients treated with Bushen Jiangu decoction combined with western medicine.The clinical efficacy,spinal canal occupation rate,anterior vertebral height and Cobb angle were compared between the two groups.Results The total effective rate of the observation group was 95.56%,higher than 82.22%of the control group,the difference was statistically significant(P<0.05).After treatment,the rate of spinal canal invasion in the observation group was lower than that in the control group,the height of anterior vertebral margin was higher than that in the control group,and the Cobb angle was lower than that in the control group,with statistically significant differences(P<0.05).Conclusion The treatment of osteoporotic thoracolumbar compression fractures in the elderly patients combined with Bushen Jiangu decoction can improve the condition of thoracolumbar spine and improve the treatment effect.