摘要
目的:探讨丁锷经验方结合椎体成形术(PVP)治疗老年骨质疏松性骨折的有效性。方法:选取骨质疏松性椎体压缩性骨折(OVCF)患者90例,随机分为对照组与治疗组各45例。所有入组患者在PVP术后进行抗骨质疏松治疗(碳酸钙D3联合骨化三醇胶丸),治疗组在此基础上加用丁锷经验方内服,治疗时间均为6个月。观察治疗前后患者疼痛情况(VAS评分)、Oswestry脊柱功能障碍指数(ODI)、骨密度指标T、Z及BMD值等,进行临床疗效评价。结果:2组患者用药后各效应指标较治疗前均有明显改善;治疗组患者术后各时间点的VAS评分、ODI评分均低于对照组;治疗6个月后,患者胸腰椎骨密度T、Z及BMD值整体比较,治疗组效果更优;疗程结束后治疗组有效率为95.56%,患者临床症状改善更为明显,差异均具有统计学意义。结论:在PVP术后常规抗骨质疏松治疗的基础上结合丁锷经验方治疗OVCF够有效提高临床疗效,上调骨密度水平,同时降低疼痛评分和脊柱功能障碍评分,有效促进脊柱功能恢复以及预防骨折再发,值得临床推广。
Objective:To explore the effectiveness of Ding’e empirical prescription combined with vertebroplasty(PVP)in the treatment of osteoporotic fractures in the elderly.Methods:A total of 90 patients with osteoporotic vertebral compression fractures(OVCF)were selected and randomly divided into a control group and a treatment group,45 cases in each group.All patients in the group received anti-osteoporosis treatment(calcium carbonate D3 combined with calcitriol capsules)after PVP surgery.On this basis,the treatment group was given Ding’e empirical prescription orally,and the treatment time was 6 months.The pain condition(VAS score),Oswestry spinal dysfunction index(ODI),bone density indexes T,Z and BMD values of the patients before and after treatment were observed,and the clinical efficacy was evaluated.Results:After medication,all effect indicators of the two groups of patients were significantly improved compared with those before treatment;the VAS scores and ODI scores of the patients in the treatment group at each time point after surgery were lower than those in the control group;after 6 months of treatment,the overall comparison of the thoracic and lumbar spine bone density T,Z and BMD values of the patients showed that the treatment group had better effects;after the end of the course of treatment,the effective rate of the treatment group was 95.56%,and the clinical symptoms of the patients improved more significantly,and the differences were statistically significant.Conclusion:On the basis of conventional anti-osteoporosis treatment after PVP surgery,the combination of Ding’e empirical prescription for the treatment of OVCF can effectively improve the clinical efficacy,increase the bone density level,and reduce the pain score and spinal dysfunction score,effectively promote the recovery of spinal function and prevent the recurrence of fractures,which is worthy of clinical promotion.
作者
轩传顺
周正新
李文华
张柒德
尹润生
丁文星
伍贻山
郭振兴
丁雪丽
XUAN Chuanshun;ZHOU Zhengxin;LI Wenhua;ZHANG Qide;YIN Runseng;DING Wenxing;WU Yishan;GUO Zhenxing;DING Xueli(Changfeng County Hospital of Traditional Chinese Medicine,Anhui Hefei 231100,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)
出处
《中医药临床杂志》
2024年第9期1797-1801,共5页
Clinical Journal of Traditional Chinese Medicine
基金
合肥市中医药研究项目(HFSZYYYJ2023-1)。
关键词
丁锷经验方
老年骨质疏松性骨折
腰背痛
椎体成形术
Ding’e empirical prescription
Osteoporotic fractures in the elderly
Low back pain
Vertebroplasty
