身痛逐瘀汤治疗椎体压缩骨折PKP术后残余痛的临床药效观察

摘要

目的：：探讨经皮球囊扩张椎体后凸成形术(PKP)后,腰痛症状改善不明显患者采用中药身痛逐瘀汤内服治疗的临床疗效。方法：选择收治且符合纳入标准的患者63例,随机分为治疗组和对照组。治疗组33例,给予身痛逐瘀汤水煎内服,1d1剂,分两次服用,10d 为1个疗程。对照组30例,给予碳酸钙D3片口服,1次1片,1 d2次。分别记录治疗前及治疗后1、3个月的采用目测类比(VAS)评分、(ADL)日常生活能力量表,以及治疗前及治疗、3个月骨密度测量结果。结果：治疗组33例接受治疗的患者完成治疗后,疼痛、生活质量及骨密度均较治疗前有了明显改善且优于对照组。结论：身痛逐瘀汤内服在治疗椎体压缩骨折PKP 术后残余痛方面疗效确切,是一种行之有效的方法。%Obj ective:To discuss the clinics effect of Shentong Zhuyu decoction in treatment of the residual pain of vertebral compression fractures after percutaneous kyphoplasty (PKP).Methods:The research enrolled 63 cases in the standard,who were randomly divided into 2 groups.33 cases of treatment group treated with Shentong Zhuyu de-coction by po,bid/one agent and the period of ten days.30 cases of control group treated with vitD3 combined with caci-um,by one tablet twice a day.Visual analogue score (VAS),Activity of Daily living Scale(ADL)and Activity of Daily Living Scale(ADL)were recorded before and 1 ,3 months after treatment.And bone mineral density (BMD)was measured before and 3,6 months after treatment to evaluate the curative effect.Results:33 cases of treatment group had obvious pain relief after treatment and had significance superior to control group.Their bone mineral density (BMD)and quality of life were further improved.Conclusion:It has curative effect of Shentong Zhuyu decoction in treatment of the residual pain of vertebral compression fractures after percutaneous kyphoplasty (PKP).