【摘要】：目的:通過拔伸按壓法配合外固定支具治療單純胸腰椎骨折的臨床研究,客觀分析此方法的臨床療效,探討此方法在臨床應(yīng)用中的的特點,為臨床選用合適方法治療單純胸腰椎骨折提供參考。方法:采用隨機平行對照的設(shè)計。選取2014年3月至2015年10月間經(jīng)海城市正骨醫(yī)院臨床與影像學檢查確診并收治住院的無神經(jīng)癥狀的單純胸腰椎骨折患者,本著知情同意自愿入組的原則,分別納入拔伸按壓法配合外固定支具治療組(實驗組,30例)、傳統(tǒng)平臥墊枕治療組(對照組,30例)。記錄兩組患者損傷當日,治療后第1天,治療后第2、3、4、6、8周時的VAS評分,以及比較兩組患者受傷后第1次X線片、治療結(jié)束時的X線片的椎體高度及Cobb角的改變。結(jié)果:實驗組損傷當日VAS評分為8.56±0.24,治療后第1天,第2、3、4、6、8周VAS評分為8.02±0.23、7.34±0.25、5.43±0.29、4.23±0.24、3.47±0.24、1.58±0.21,損傷時與治療后分別比較,P0.05,差別有統(tǒng)計學意義;實驗組受傷后第1次x線片,椎體高度為51.2±17.5(%),Cobb角為32.2±4.7度,治療結(jié)束后的X線片椎體高度95.6±4.5(%)Cobb角為1.4±0.8度,兩者比較,P0.05,差別有統(tǒng)計學意義。結(jié)論:拔伸按壓法配合外固定支具治療單純胸腰椎骨折療效滿意,能顯著改善患者損傷后的疼痛,更為重要的是能減少治療中所帶來的長期臥床的并發(fā)癥,而且便于護理,更能較好的恢復(fù)椎體高度及糾正Cobb角的后凸,其標準化、規(guī)范化的治療方法顯得更可靠、客觀、科學,值得臨床的應(yīng)用推廣。
[Abstract]:Objective: to study the clinical effect of this method in the treatment of simple thoracolumbar vertebrae fracture, and to explore the characteristics of this method in clinical application. To provide a reference for clinical treatment of simple thoracolumbar fractures. Methods: a randomized parallel control design was used. From March 2014 to October 2015, selected patients with simple thoracolumbar fractures who were diagnosed and admitted by clinical and imaging examinations in Haicheng City Zhenggu Hospital from March 2014 to October 2015 without neurological symptoms, and based on the principle of informed consent to voluntary admission to the group, The treatment group (experimental group, 30 cases) and the traditional supine pillow group (control group, 30 cases) were included in the treatment group. The VAS scores were recorded on the day of injury, 1 day after treatment and 8 weeks after treatment, and the changes of vertebral height and Cobb angle were compared between the two groups at the first time after injury, the height of vertebral body and the Cobb angle at the end of the treatment. Results: the VAS score of the experimental group was 8.56 鹵0.24 on the day of injury and 8.02 鹵0.23 鹵0.23 鹵0.255.43 鹵0.294.23 鹵0.244.47 鹵0.241.58 鹵0.21 on the first day after treatment, and the VAS score was 8.02 鹵0.237.34 鹵0.254.23 鹵0.244.47 鹵0.244.47 鹵0.24V1.58 鹵0.21 on the 1st day after treatment and at the 8th week after treatment. P0.05, the difference was statistically significant. In the experimental group, the height of the vertebral body was 51.2 鹵17.5 (32.2 鹵4.7) at the first time after injury, and 95.6 鹵4.5 (%) at the end of the treatment. The Cobb angle was 1.4 鹵0.8 degrees. The difference is statistically significant. Conclusion: the treatment of simple thoracolumbar vertebrae fracture with pull-extension and compression combined with external fixation is satisfactory. It can significantly improve the pain after injury. More importantly, it can reduce the complications of long-term bed rest and is convenient for nursing. It is more reliable, objective and scientific to restore the height of vertebral body and correct the kyphosis of Cobb angle. The standardized and standardized treatment method is more reliable, objective, scientific and worthy of clinical application and popularization.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R274.1
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本文編號：2396793