补肾健骨汤联合西药治疗老年骨质疏松性胸腰椎压缩性骨折临床研究

摘要

目的:研究补肾健骨汤联合西药治疗老年骨质疏松性胸腰椎压缩性骨折的临床疗效.方法:回顾分析168例老年骨质疏松性胸腰椎压缩性骨折患者临床资料,将其随机分为对照组和观察组,每组84例患者.对照组采用西药治疗,观察组在对照组治疗基础上联合补肾健骨汤治疗,连续治疗2个疗程(1个疗程20 d)后,观察两组患者临床治疗疗效.结果:观察组治疗有效率为94.04% 明显高于对照组75%(P<0.05);治疗后两组患者骨密度均明显提高,与治疗前对比(P<0.05),观察组改善明显优于对照组(P<0.05);治疗后两组Frankel脊髓损伤分级有所改善,与治疗前对比(P<0.05),观察组改善明显优于对照组(P<0.05);治疗后两组椎体前缘高度、Cobb角、椎管侵占率明显改善,与治疗前对比(P<0.05),观察组改善明显优于对照组(P<0.05);随访2~3个月,观察组并发症发生率明显低于对照组(P<0.05).结论:补肾健骨汤联合西药治疗老年骨质疏松性胸腰椎压缩性骨折疗效确切,可有效促进患者的康复,降低并发症发生率.%Objective:To study the clinical effect of Bushen Jiangu decoction combined with western medicine in treating senile osteoporotic thoracolumbar vertebral compression fractures.Methods:The clinical data of 168 eld-erly patients with osteoporotic thoracolumbar vertebral compression fractures diagnosed were retrospectively ana-lyzed.They were randomly divided into control group and observation group,with 84 cases in each group patient. The control group was treated with western medicine.The observation group was treated with Bushen Jiangu decoc-tion on the basis of the control group.After two courses of continuous treatment(one course of 20 days),the clini-cal curative effect of the two groups was observed.Results:The effective rate of the observation group was 94. 04%,which was significantly higher than that of the control group(P<0.05).After treatment,the bone mineral density of the two groups were significantly higher than that before treatment(P<0.05).After treatment,Frankel spinal cord injury grade improved in both groups(P<0.05),and the improvement in the observation group was sig-nificantly better than that in the control group(P<0.05).After treatment,two groups of vertebral bodies(P<0. 05).The improvement in the observation group was significantly better than that in the control group(P<0.05). The complications were observed in the observation group after 2-3 months of follow-up.The rate was significantly lower than that of the control group(P<0.05).Conclusion:Bushen Jiangu decoction combined with western medi-cine is effective in treating senile osteoporotic thoracolumbar vertebral compression fractures,which can effectively promote the recovery of patients and reduce the incidence of complications,which deserves clinical application and promotion.