补肾活血方治疗老年骨质疏松椎体压缩骨折围手术期疗效观察
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R687.3

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Cu rative Effect Observation on Bushen Huoxue Prescrip tion for Verteb ral Comp ression Fracture of Senile Osteopo rosis in Perioperative Period
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    摘要:

    目的:观察补肾活血方在老年骨质疏松椎体压缩骨折围手术期中应用的疗效。方法:将90例患者随机分为2组各45例。对照组选用经皮穿刺球囊扩张椎体成形术(PKP)治疗,治疗组在对照组的基础上于术前、术后各服1周补肾活血汤,观察2组患者术前、术后第1、2、4周的疼痛视觉模拟评分法(VAS)评分、Oswestry功能障碍指数评分法(ODI)评分。结果:术后第1、2、4周,2组患者疼痛VAS评分均较治疗前下降( P <0.05);且在术后第2、4周,治疗组VAS评分较对照组下降更显著( P <0.05)。术后第1、2、4周,2组患者ODI评分均较治疗前下降( P <0.05);且在术后第2、4周,治疗组ODI评分较对照组下降更显著( P <0.05)。结论:补肾活血方可减轻老年骨质疏松椎体压缩骨折患者PKP术后疼痛,改善患者脊柱功能。

    Abstract:

    Objective:To observe the curative effect of Bushen Huoxue prescription for vertebral compression fracture of senile osteoporosis in perioperative period.Methods:Divided 90 cases of patients into two groups randomly,45 cases in each group.The control group adopted percutaneous kyphoplasty(PKP)for treatment,while the treatment group was additionally given Bushen Huoxue prescription before and after the operation for one w eek respectively based on the treatment of the controlgroup.Observed the scores of the visualanalogue scale(VAS)of pain and the scores of the Oswestry disability index(ODI)at the first,second and fourth weeks before and after the operation.Results:At the first,second and fourthweeks after the operation,VAS scores in the two groups were decreased when compared with those before treatment( P <0.05); at the second and fourth weeks after the operation, VAS score in the treatment group was decreased more significantly than that in the controlgroup( P <0.05).At the first,second and fourth weeks after the operation,ODIscores in the two groups were decreased when compared with those before treatment( P <0.05);at the second and fourth weeks after the operation,ODIscore in the treatment group was decreased more significantly than that in the controlgroup( P <0.05).Conclusion:Bushen Huoxue prescription can alleviate postoperative pain of patients with vertebral compression fracture of senile osteoporosis after PKP and improve the spine function of patients.

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雒永生,周广超,李振豪,朱生虎,张立强.补肾活血方治疗老年骨质疏松椎体压缩骨折围手术期疗效观察[J].新中医,2018,50(9):120-122

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  • 在线发布日期: 2018-09-04
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