五点支撑法治疗胸腰椎压缩性骨折的80例临床观察

发布时间：2019-04-18 17:52

【摘要】：目的:本项课题旨在通过五点支撑法治疗胸腰椎压缩性骨折的80例临床观察,确定五点支撑法在治疗胸腰椎压缩性骨折方面的作用,并对研究的科学性进行数据评估。方法:采用Doll's临床病例随机表法80例入组患者分为2组,五点支撑法组(治疗组)和垫枕法组(对照组),两组患者均指导其进行相应的保守治疗方法并配合中药外敷,以14天为一个周期,连续治疗2个周期。采用VAS评分以及腰椎压缩性骨折患者Oswestry功能障碍指数问卷为评价手段,详细记录治疗前后患者症状以及基本生活情况。实验结果:1、五点支撑法在缓解患者疼痛症状方面的效果要明显优于垫枕法(P0.05)。2、在80例临床观察中针对治疗后患者椎体的活动即屈伸、旋转功能等情况,与垫枕法治疗效果存在显著性差异,表明五点支撑法在改善患者椎体活动范围上具有明显疗效。3、在改善生活质量方面,五点支撑法对于患者生活质量的影响要优于颈垫枕法(P0.05),对临床各项治疗的研究发现,患者的生活治疗与疼痛以及活动情况有密切关系,当患者疼痛与功能均得到明显改善是,对治疗效果更满意。4、对于椎体骨折复位高度的评价,由于在观察疗程过程中无法迅速完成椎体骨折复位,或者复位高度无法达到参考值,所以无法对复位高度进行有效的分析。5、对在临床观察结果分析发现,五点支撑法的整体有效率为90.00%,垫枕法的有效率为87.50%,两者之间存在差异,表明在整体治疗过程中,五点支撑法与垫枕法相比疗效相当,从而验证了五点支撑法的临床疗效。结论:五点支撑法在治疗胸腰椎压缩性骨折的疗效显著,尤其在改善生活质量及改善椎体活动方面更为突出。为临床上保守治疗压缩性骨折提供理论依据。
[Abstract]:Aim: to determine the effect of five-point support in the treatment of thoracolumbar vertebral compression fracture and to evaluate the scientific nature of the study by clinical observation of 80 cases of thoracolumbar vertebral compression fracture treated by five-point support method. Methods: 80 patients with Doll's were randomly divided into two groups: five-point support group (treatment group) and pillow-cushion group (control group). The patients in both groups were instructed to carry out the corresponding conservative treatment and combined with external application of traditional Chinese medicine, and the patients in the two groups were divided into two groups: the treatment group (control group) and the control group (control group). 14 days as a cycle, continuous treatment for 2 cycles. The symptoms and basic living conditions of patients with lumbar compression fracture before and after treatment were recorded by VAS score and Oswestry dysfunction index questionnaire. The results were as follows: 1. The effect of five-point support method on relieving pain symptoms of patients was significantly better than that of pillow-cushion method (P0.05). 2. In 80 cases of clinical observation, the patients' vertebral body movement, such as flexion and extension, rotation function and so on, were observed. The results showed that the five-point support method had a significant effect on improving the range of vertebral body movement. 3, in improving the quality of life, the results showed that the five-point support method was effective in improving the quality of life of the patients. The effect of five-point support method on patients' quality of life was better than that of neck-cushion method (P0.05). The study of clinical treatment found that patients' life therapy was closely related to pain and activity. When the pain and function of the patients were significantly improved, the therapeutic effect was more satisfactory. 4. For the evaluation of the height of reduction of vertebral body fracture, the reduction of vertebral body fracture could not be completed quickly during the observation course of treatment. Or the reduction height could not reach the reference value, so the reduction height could not be effectively analyzed. 5. According to the analysis of the clinical observation results, the overall effective rate of the five-point support method was 90.00%, and the effective rate of the pillow-cushion method was 87.50%. There are differences between the two methods, indicating that the five-point support method has the same curative effect as the pillow-cushion method in the whole treatment process, thus validating the clinical curative effect of the five-point support method. Conclusion: five-point support is effective in the treatment of thoracolumbar vertebral compression fracture, especially in improving the quality of life and vertebral body activity. It provides theoretical basis for conservative treatment of compression fracture.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.1

【参考文献】