拔伸按压法配合外固定支具治疗单纯胸腰椎骨折
发布时间：2018-12-31 15:47
【摘要】：目的:通过拔伸按压法配合外固定支具治疗单纯胸腰椎骨折的临床研究,客观分析此方法的临床疗效,探讨此方法在临床应用中的的特点,为临床选用合适方法治疗单纯胸腰椎骨折提供参考。方法:采用随机平行对照的设计。选取2014年3月至2015年10月间经海城市正骨医院临床与影像学检查确诊并收治住院的无神经症状的单纯胸腰椎骨折患者,本着知情同意自愿入组的原则,分别纳入拔伸按压法配合外固定支具治疗组(实验组,30例)、传统平卧垫枕治疗组(对照组,30例)。记录两组患者损伤当日,治疗后第1天,治疗后第2、3、4、6、8周时的VAS评分,以及比较两组患者受伤后第1次X线片、治疗结束时的X线片的椎体高度及Cobb角的改变。结果:实验组损伤当日VAS评分为8.56±0.24,治疗后第1天,第2、3、4、6、8周VAS评分为8.02±0.23、7.34±0.25、5.43±0.29、4.23±0.24、3.47±0.24、1.58±0.21,损伤时与治疗后分别比较,P0.05,差别有统计学意义;实验组受伤后第1次x线片,椎体高度为51.2±17.5(%),Cobb角为32.2±4.7度,治疗结束后的X线片椎体高度95.6±4.5(%)Cobb角为1.4±0.8度,两者比较,P0.05,差别有统计学意义。结论:拔伸按压法配合外固定支具治疗单纯胸腰椎骨折疗效满意,能显著改善患者损伤后的疼痛,更为重要的是能减少治疗中所带来的长期卧床的并发症,而且便于护理,更能较好的恢复椎体高度及纠正Cobb角的后凸,其标准化、规范化的治疗方法显得更可靠、客观、科学,值得临床的应用推广。
[Abstract]:Objective: to study the clinical effect of this method in the treatment of simple thoracolumbar vertebrae fracture, and to explore the characteristics of this method in clinical application. To provide a reference for clinical treatment of simple thoracolumbar fractures. Methods: a randomized parallel control design was used. From March 2014 to October 2015, selected patients with simple thoracolumbar fractures who were diagnosed and admitted by clinical and imaging examinations in Haicheng City Zhenggu Hospital from March 2014 to October 2015 without neurological symptoms, and based on the principle of informed consent to voluntary admission to the group, The treatment group (experimental group, 30 cases) and the traditional supine pillow group (control group, 30 cases) were included in the treatment group. The VAS scores were recorded on the day of injury, 1 day after treatment and 8 weeks after treatment, and the changes of vertebral height and Cobb angle were compared between the two groups at the first time after injury, the height of vertebral body and the Cobb angle at the end of the treatment. Results: the VAS score of the experimental group was 8.56 卤0.24 on the day of injury and 8.02 卤0.23 卤0.23 卤0.255.43 卤0.294.23 卤0.244.47 卤0.241.58 卤0.21 on the first day after treatment, and the VAS score was 8.02 卤0.237.34 卤0.254.23 卤0.244.47 卤0.244.47 卤0.24V1.58 卤0.21 on the 1st day after treatment and at the 8th week after treatment. P0.05, the difference was statistically significant. In the experimental group, the height of the vertebral body was 51.2 卤17.5 (32.2 卤4.7) at the first time after injury, and 95.6 卤4.5 (%) at the end of the treatment. The Cobb angle was 1.4 卤0.8 degrees. The difference is statistically significant. Conclusion: the treatment of simple thoracolumbar vertebrae fracture with pull-extension and compression combined with external fixation is satisfactory. It can significantly improve the pain after injury. More importantly, it can reduce the complications of long-term bed rest and is convenient for nursing. It is more reliable, objective and scientific to restore the height of vertebral body and correct the kyphosis of Cobb angle. The standardized and standardized treatment method is more reliable, objective, scientific and worthy of clinical application and popularization.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.1
，
本文编号：2396793
[Abstract]:Objective: to study the clinical effect of this method in the treatment of simple thoracolumbar vertebrae fracture, and to explore the characteristics of this method in clinical application. To provide a reference for clinical treatment of simple thoracolumbar fractures. Methods: a randomized parallel control design was used. From March 2014 to October 2015, selected patients with simple thoracolumbar fractures who were diagnosed and admitted by clinical and imaging examinations in Haicheng City Zhenggu Hospital from March 2014 to October 2015 without neurological symptoms, and based on the principle of informed consent to voluntary admission to the group, The treatment group (experimental group, 30 cases) and the traditional supine pillow group (control group, 30 cases) were included in the treatment group. The VAS scores were recorded on the day of injury, 1 day after treatment and 8 weeks after treatment, and the changes of vertebral height and Cobb angle were compared between the two groups at the first time after injury, the height of vertebral body and the Cobb angle at the end of the treatment. Results: the VAS score of the experimental group was 8.56 卤0.24 on the day of injury and 8.02 卤0.23 卤0.23 卤0.255.43 卤0.294.23 卤0.244.47 卤0.241.58 卤0.21 on the first day after treatment, and the VAS score was 8.02 卤0.237.34 卤0.254.23 卤0.244.47 卤0.244.47 卤0.24V1.58 卤0.21 on the 1st day after treatment and at the 8th week after treatment. P0.05, the difference was statistically significant. In the experimental group, the height of the vertebral body was 51.2 卤17.5 (32.2 卤4.7) at the first time after injury, and 95.6 卤4.5 (%) at the end of the treatment. The Cobb angle was 1.4 卤0.8 degrees. The difference is statistically significant. Conclusion: the treatment of simple thoracolumbar vertebrae fracture with pull-extension and compression combined with external fixation is satisfactory. It can significantly improve the pain after injury. More importantly, it can reduce the complications of long-term bed rest and is convenient for nursing. It is more reliable, objective and scientific to restore the height of vertebral body and correct the kyphosis of Cobb angle. The standardized and standardized treatment method is more reliable, objective, scientific and worthy of clinical application and popularization.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.1
，
本文编号：2396793
本文链接：https://www.wllwen.com/zhongyixuelunwen/2396793.html
最近更新
教材专著
