摘要
目的探讨自拟汤药辅助治疗胸腰椎骨折伴脊髓损伤的临床效果。方法选择2008年5月～2010年5月胸腰椎骨折合并脊髓损伤患者50例,将以上患者随机分为两组,观察组和对照组。两组患者入院后给予地塞米松和甘露醇等,如果骨折块进入椎骨和脊柱不稳定患者,实施后入路椎弓根钉内固定;治疗过程中给予抗生素防治感染,定时翻身防止褥疮发生,防治深静脉血栓形成。对照组采用以上治疗,观察组在对照组治疗基础上给予自拟汤药,水煎服,每天2次,连续服用3周。入院后第3天开始服用。结果观察组治疗后感觉评分与对照组治疗后比较,差异有统计学意义(P<0.05);观察组治疗后运动评分与对照组治疗后比较,差异有统计学意义(P<0.05)。结论自拟汤药能够显著改善胸腰椎骨折合并脊髓损伤患者临床症状和体征,临床效果显著,值得借鉴。
Objective To discuss the clinical effect of self-made decoction for the adjuvant treatment of thoracolumbar fracture accompanied with spinal cord injury.Methods 50 patients with the combination of thoracolumbar fracture and spinal cord injury from May 2008 to May 2010 were randomly divided into observation group and control group.Both groups were given dexamethasone and mannitol.The posterior pedicle screw was performed for internal fixation when vertebra and spine became unstable.Patients were given antibiotics to prevent infection and regular bodyturning to prevent bedsore and deep venous thrombosis.Observation group was orally taken self-made decoction on the basis of control group in three days after admission,twice daily,for consecutive three weeks.Results The sensory score of observation group was obviously different from that of control group,the difference had statistical significance（P〈0.05）;the motor score of observation group was obviously different from that of control group,the difference had statistical significance.Conclusion Self-made decoction can significantly improve the clinical symptoms and signs of thoracolumbar fracture combined with spinal cord injury.It has obvious effect and worth of spreading in clinic.
出处
《当代医学》
2011年第18期10-11,共2页
Contemporary Medicine
关键词
胸腰椎骨折
脊髓损伤
中药
Thoracolumbar fracture
Spinal cord injury
Traditional Chinese medicine
