摘要
目的:观察中医手法复位联合PKP及胸腰外固定支具在骨质疏松性压缩性骨折中的应用。方法:选取2016年5月至2017年5月到我院治疗骨质疏松性压缩性骨折60例,共80个椎体,采取中医手法复位联合PKP术,辅以胸腰外固定支具,比较术前、术后3个月、6个月及12个月后矢状位伤椎前缘高度、矢状位脊椎后Cobb角、视觉疼痛评分(VAS)及患者Oswestry功能障碍指数(ODI)评分。结果:术后24小时矢状位伤椎前缘高度恢复明显优于术前,差异具有统计学意义(P<0.05),术后3个月、6个月、12个月矢状位伤椎前缘高度逐渐恢复,且恢复程度显著优于术前(P<0.05);术后24小时矢状位脊柱后凸Cobb角恢复显著优于术前,且差异具有统计学意义(P<0.05),术后3个月、6个月及12个月患者矢状位脊柱后凸Cobb角逐渐恢复,且恢复程度显著优于术前(P<0.05);术后24小时患者VAS评分较患者术前显著降低,且差异具有统计学意义(P<0.05),术后3个月、6个月、12个月患者VAS评分显著下降,且优于术前VAS评分,差异具有统计学意义(P<0.05);术后24h患者ODI评分显著优于术前,且差异具有统计学意义(P<0.05),术后3个月、6个月及12个月,患者ODI评分显著降低,且与术前比较统计学差异显著(P<0.05)。结论:中医手法复位可降低PKP术操作难度,术后辅以胸腰外固定支具可达到巩固的效果,联合治疗骨质疏松压缩性骨折可达到理想治疗效果。
Objective:To investigate the application of TCM manipulative reduction combined with PKP and thoracolumbar external support in osteoporotic compression fracture.Methods:60 cases of osteoporotic compression fracture(80 vertebral bodies)treated in our hospital from May 2016 to May 2017 were selected,and all patients received the TCM manipulative reduction combined with PKP and thoracolumbar external support.Then the anterior border height of injured vertebrae and Cobb angle of kyphotic deformity in the sagittal plane,visual analogue scale(VAS)scores and Oswsetry disability index(ODI)scores at the postoperative 3 mon,6 mon and 12 mon were compared with those before operation.Results:The anterior border height of injured vertebrae at the postoperative 24 h was better than that before operation(P<0.05).The anterior border height of injured vertebrae at postoperative 3 mon,6 mon and 12 mon was gradually improved,and was better than that before operation(P<0.05).Cobb angle of kyphotic deformity at the postoperative 24 h was better than that before operation(P<0.05).Cobb angle of kyphotic deformity at postoperative 3 mon,6 mon and 12 mon was gradually improved,and was better than that before operation(P<0.05).The VAS scores were decreased in the treatment group at the postoperative 24 h(P<0.05).The VAS scores at postoperative 3 mon,6 mon and 12 mon was gradually decreased,and was better than that before operation(P<0.05).The ODI scores at the postoperative 24 h were decreased in the treatment group at the postoperative 24 h(P<0.05).The ODI scores at postoperative 3 mon,6 mon and 12 mon was gradually decreased,and was better than that before operation(P<0.05).Conclusion:TCM manipulative reduction can effectively reduce the difficulty of PKP operation,and the co-application of thoracolumbar external support can achieve the consolidation effect.
作者
胡方煜
梁木荣
张鹏
黄斌
HU Fangyu;LIANG Murong;ZHANG Peng(The People’s Hospital of Lianzhou City,Lianzhou Guangdong 513400,China)
出处
《四川中医》
2019年第5期169-173,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
广东省中医药局科研课题(项目编号:20161289)
关键词
中医手法复位
PKP
胸腰椎压缩性骨折
胸腰外固定支具
TCM manipulative reduction
PKP
Thoracolumbar vertebral compression fracture
Thoracolumbar external support
