發(fā)布時間：2019-05-23 07:18

【摘要】：目的:觀察研究筋骨傷膠囊配合墊枕復(fù)位及功能鍛煉治療單純型胸腰椎壓縮性骨折的臨床療效。方法:選擇2014年10月-2016年1月廣西中醫(yī)藥大學(xué)附屬瑞康醫(yī)院單純型胸腰椎壓縮性骨折確診60例住院患者,隨機(jī)分為治療組30例和對照組30例。試驗組30例給予口服筋骨傷膠囊配合墊枕復(fù)位及功能鍛煉治療,對照組30例運(yùn)用復(fù)方三七膠囊配合墊枕復(fù)位及功能鍛煉治療。用藥14天為一療程,連續(xù)用藥三個療程。對兩組患者治療前及治療后7天、14天、28天及42天兩組內(nèi)及組間疼痛VAS評分比較,并對治療前及治療后14天、28天及42天行X線片檢查,測量病椎椎體前緣高度及后凸Cobb角度并進(jìn)行統(tǒng)計學(xué)分析比較,評定兩組治療前后組內(nèi)及兩組間治療效果是否有差異。結(jié)果:對數(shù)據(jù)進(jìn)行SPSS22統(tǒng)計學(xué)軟件分析。治療前、后VAS疼痛評分比較,試驗組:P=0.000 P0.05,對照組:P=0.000 P0.05,兩組在治療后VAS評分均有降低。治療后7天試驗組與對照組組間VAS評分對比,P=0.031 P0.05,試驗組疼痛緩解效果優(yōu)于對照組。治療后14天、28天及42天試驗組與對照組組間VAS評分分別對比,P值均0.05,兩組間疼痛緩解程度無明顯差異。治療前、后病椎椎體前緣高度及后凸Cobb角度對比,試驗組:P值均=0.000 P值均0.05,對照組:P值均=0.000 P值均0.05,兩組在治療后病椎椎體前緣高度均有部分恢復(fù)、后凸Cobb角度均有所降低。治療后14天、28天及42天試驗組與對照組組間病椎椎體前緣高度及后凸Cobb角度分別對比,P值均0.05,兩組間在病椎椎體前緣高度恢復(fù)及Cobb角度降低上無明顯差異。治療后試驗組總效率為93.33%,對照組總有效率為96.67%,兩組治療后有效率進(jìn)行統(tǒng)計學(xué)分析,P值=0.343 P0.05,兩組治療后總有效率無明顯差異。結(jié)論:筋骨傷膠囊配合墊枕復(fù)位及功能鍛煉治療單純型胸腰段椎體壓縮性骨折臨床療效較好,能較快緩解疼痛,且治療方法簡單,值得進(jìn)一步臨床推廣。
[Abstract]:Objective: to observe the clinical effect of Jingu injury capsule combined with pillow reduction and functional exercise in the treatment of simple thoracolumbar compression fracture. Methods: from October 2014 to January 2016, 60 inpatients with simple thoracolumbar compression fracture in Ruikang Hospital affiliated to Guangxi University of traditional Chinese Medicine were randomly divided into treatment group (n = 30) and control group (n = 30). 30 cases in the experimental group were treated with oral Jin-Gu injury capsule combined with pillow reduction and functional exercise, while 30 cases in the control group were treated with compound Panax notoginseng capsule combined with pillow reduction and functional exercise. 14 days as a course of treatment, three consecutive courses of treatment. The pain VAS scores of the two groups were compared before treatment and 7 days, 14 days, 28 days and 42 days after treatment, and X-ray examination was performed before treatment and 14 days, 28 days and 42 days after treatment. The anterior edge height and kyphosis Cobb angle of the diseased vertebrae were measured and compared statistically to evaluate whether there was any difference in the therapeutic effect between the two groups before and after treatment. Results: the data were analyzed by SPSS22 statistical software. Before and after treatment, the pain score of VAS was decreased in the experimental group (P 鈮，

本文編號：2483709