桃核承气汤联合大黄穴位贴敷在老年胸腰椎骨折患者中应用效果分析

Analysis of the Application Effect of Taohe Chengqi Decoction Combined with Rhubarb Acupoint Application in Elderly Patients with Thoracolum⁃bar Fractures

目的 分析老年胸腰椎骨折患者联合使用桃核承气汤与大黄穴位贴敷治疗效果。方法 随机选取2022年9月—2023年8月菏泽市牡丹人民医院收治的80例胸腰椎骨折患者为研究对象,根据不同治疗方法分为两组,各40例。对照组采取大黄穴位贴敷治疗,观察组在上述基础上联合使用桃核承气汤。对比两组患者的中医证候积分、炎性因子水平、胃肠功能恢复及日常生活能力。结果 治疗后,两组患者的中医证候积分各指标、炎性因子水平均低于治疗前,两组日常生活能力评分均高于治疗前;观察组中医证候积分、炎性因子水平均低于对照组,且观察组日常生活能力评分均高于对照组,差异有统计学意义(P均<0.05)。观察组术后首次排便时间为(37.45±5.12)min,短于对照组的(40.83±5.86)min,观察组排便次数为(5.80±1.45)次/周,多于对照组的(4.85±1.25)次/周,差异有统计学意义(t=2.747、3.138,P均<0.05)。结论 临床中针对老年胸腰椎骨折患者的治疗措施应以多靶点协同干预为主,桃核承气汤联合大黄穴位贴敷治疗方案可改善患者临床症状及胃肠功能,降低机体炎性损伤的同时显著提高日常生活能力。

Objective To analyze the therapeutic effect of combined use of Taohe Chengqi Decoction and rhubarb acu⁃point application in elderly patients with thoracolumbar fractures.Methods Eighty patients with thoracolumbar frac⁃tures admitted to Mudan People's Hospital of Heze City from September 2022 to August 2023 were randomly selected as the research objects and divided into two groups according to different treatment methods,with 40 cases in each group.The control group was treated with rhubarb acupoint application,and the observation group was combined with Taohe Chengqi Decoction on the above basis.The traditional Chinese medicine syndrome scores,inflammatory factor levels,gastrointestinal function recovery and activities of daily living of the two groups were compared.Results After treatment,the traditional Chinese medicine syndrome scores and the level of inflammatory factors in both groups were lower than those before treatment,the score of activities of daily living in both groups was higher than that before treat⁃ment;the traditional Chinese medicine syndrome scores and the level of inflammatory factors in the observation group were all lower than those in the control group,and the score of activities of daily living in the observation group was higher than that in the control group,the differences were statistically significant(all P<0.05).The first defecation time of the observation group was(37.45±5.12)min,which was shorter than that of the control group(40.83±5.86)min,the times of defecation in the observation group was(5.80±1.45)times/week,which was more than that of the control group(4.85±1.25)times/week,the differences were statistically significant(t=2.747,3.138,both P<0.05).Conclusion In clinical treatment of elderly patients with thoracolumbar fractures,multi-target collaborative intervention should be the main treatment measure.The treatment scheme of Taohe Chengqi Decoction combined with rhubarb acupoint ap⁃plication can significantly improve the clinical symptoms and gastrointestinal function of patients,reduce the inflam⁃matory damage of the body and significantly improve the ability of daily living.