摘要
目的研究老年骨质疏松性胸腰椎压缩骨折患者应用补肾健骨汤联合经皮椎体后凸成形术(PKP)治疗的临床效果。方法选择我院2014年5月至2015年9月接受治疗的老年骨质疏松性胸腰椎压缩骨折患者92例,随机分配法分成研究组和对照组各46例。对照组患者采取PKP治疗,研究组患者采取PKP手术联合补肾健骨汤治疗,对两组患者的伤椎后凸角和椎体前中柱平均高度进行检测并比较,采取VAS表和SF-36调查表对两组患者治疗后健康状况和治疗后疼痛情况情况进行调查,记录两组患者治疗后并发症发生情况。结果接受手术治疗后两组患者的VAS评分明显下降(P<0.05),而研究组下降幅度更大(P<0.05);在Oswestry评分方面,两组在术后均发生明显下降(P<0.05=,其中研究组下降幅度相比对照组更大(P<0.05);影像学指标方面,研究组在四象指标方面均获得较大改善(P<0.05),而对照组手术前后差异无统计学意义(P>0.05)。研究组血钙(2.90±0.25)mmol/L、血磷(1.93±0.22)mmol/L、血清磷酸酶(89.72±11.23)IU/L与对照组相比差异具有统计学意义(P<0.05),研究组患者治疗后出现新发骨折、椎旁软组织渗漏、椎间隙渗漏例数明显少于对照组患者,差异有统计学意义(P<0.05)。结论补肾健骨汤联合PKP治疗老年骨质疏松性胸腰椎压缩骨折患者效果显著,可有效减轻患者疼痛,促进愈合,降低并发症。
Objective To study clinical effect of reinforcing kidney and strengthening bone decoction combined with rercutaneous kyphoplasty in treatment of elderlyosteoporotic thoracolumbar vertebral compression fracture. Methods Choose 92 cases osteoporotic thoracolumbar compression fracture patients treated in our hospital from May 2014 to September 2015, and divide them into study and control group randomly, 46 cases in each. Control group was treated with PKP, and study group with PKP surgery combined with reinforcing kidney and strengthening bone decoction, detecte and compare vertebral kyphotic angle and average height of anterior and middle column of two groups, investigate health and pains situation of two groups after treatment with VAS table and SF-36 questionnaire. Record complications after treatment of two groups. Results VAS scores after surgery if two groups decreased significantly(P<0.05), and study group decreased much more(P<0.05); Oswestry scores of two groups decreased significantly after operation(P<0.05), and study group decreased more than control group(P<0.05); for imaging index, four inages index of study group was improved significantly(P<0.05), and difference before and after surgery of control group showed no statistical significance(P>0.05). Blood calcium of study group was(2.90 ±0.25) mmol/L, serium inorganic phosphorus was(1.93 ±0.22) mmol/L, serum phosphatase was(89.72 ±11.23) IU/L, difference showed statistical significance from control group(P<0.05). New fractures, paravertebral soft tissue leakage and disc leakage cases of study group after treatment were significantly less than control group, difference showed statistical significance(P<0.05). Conclusion Reinforcing kidney and strengthening bone decoction combined with PKP has significant effect in treatment of elderly osteoporotic thoracolumbar vertebral compression fracture, which can relieve pain effectively, promote healing and reduce complications.
出处
《智慧健康》
2017年第9期38-40,45,共4页
Smart Healthcare
关键词
老年骨质疏松
胸腰椎压缩骨折
PKP
补肾健骨汤
疗效
Elderly osteoporosis
Thoracolumbar compression fracture
PKP
Reinforcing kidney and strengthening bone decoction
Curative effect