椎体成形术配合益肾补骨汤治疗骨质疏松性胸腰椎压缩性骨折临床研究

目的:观察椎体成形术配合益肾补骨汤治疗骨质疏松性胸腰椎压缩性骨折的效果。方法:84例按随机数字表法分为两组各42例。两组均行椎体成形术,观察组术后加用益肾补骨汤。结果:治疗后观察组伤椎Cobb角、椎体前缘丢失高度、VAS评分、ODI低于对照组,股骨大转子、股骨颈、腰椎L2-4骨密度与GQOLI-74内各维度评分高于对照组,差异有统计学意义(P<0.05)。两组并发症发生率比较差异无统计学意义(P>0.05)。结论:椎体成形术配合益肾补骨汤治疗骨质疏松性胸腰椎压缩性骨折效果较好。

Objective:To observe the effect of vertebroplasty combined with Reinforcing Kidney and Bone Decoction in the treatment of osteoporotic thoracolumbar vertebral compression fractures.Methods:Eighty-four cases were divided into two groups according to the random number table method,42 cases in each group.Both groups underwent vertebroplasty,and the observation group were treated with Reinforcing Kidney and Bone Decoction after operation.Results:After treatment,the Cobb angle of the injured vertebra,the loss height of the anterior edge of the vertebral body,the VAS score and ODI in the observation group were lower than those in the control group.The bone mineral density of the greater trochanter of the femur,the femoral neck and the lumbar spine L2-4 and the scores of each dimension in GQOLI-74 were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Vertebroplasty combined with Yishen Bugu Decoction is effective in the treatment of osteoporotic thoracolumbar vertebral compression fractures.