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筋骨伤胶囊配合垫枕复位及功能锻炼治疗单纯型胸腰椎压缩性骨折临床观察

发布时间:2019-05-23 07:18
【摘要】:目的:观察研究筋骨伤胶囊配合垫枕复位及功能锻炼治疗单纯型胸腰椎压缩性骨折的临床疗效。方法:选择2014年10月-2016年1月广西中医药大学附属瑞康医院单纯型胸腰椎压缩性骨折确诊60例住院患者,随机分为治疗组30例和对照组30例。试验组30例给予口服筋骨伤胶囊配合垫枕复位及功能锻炼治疗,对照组30例运用复方三七胶囊配合垫枕复位及功能锻炼治疗。用药14天为一疗程,连续用药三个疗程。对两组患者治疗前及治疗后7天、14天、28天及42天两组内及组间疼痛VAS评分比较,并对治疗前及治疗后14天、28天及42天行X线片检查,测量病椎椎体前缘高度及后凸Cobb角度并进行统计学分析比较,评定两组治疗前后组内及两组间治疗效果是否有差异。结果:对数据进行SPSS22统计学软件分析。治疗前、后VAS疼痛评分比较,试验组:P=0.000 P0.05,对照组:P=0.000 P0.05,两组在治疗后VAS评分均有降低。治疗后7天试验组与对照组组间VAS评分对比,P=0.031 P0.05,试验组疼痛缓解效果优于对照组。治疗后14天、28天及42天试验组与对照组组间VAS评分分别对比,P值均0.05,两组间疼痛缓解程度无明显差异。治疗前、后病椎椎体前缘高度及后凸Cobb角度对比,试验组:P值均=0.000 P值均0.05,对照组:P值均=0.000 P值均0.05,两组在治疗后病椎椎体前缘高度均有部分恢复、后凸Cobb角度均有所降低。治疗后14天、28天及42天试验组与对照组组间病椎椎体前缘高度及后凸Cobb角度分别对比,P值均0.05,两组间在病椎椎体前缘高度恢复及Cobb角度降低上无明显差异。治疗后试验组总效率为93.33%,对照组总有效率为96.67%,两组治疗后有效率进行统计学分析,P值=0.343 P0.05,两组治疗后总有效率无明显差异。结论:筋骨伤胶囊配合垫枕复位及功能锻炼治疗单纯型胸腰段椎体压缩性骨折临床疗效较好,能较快缓解疼痛,且治疗方法简单,值得进一步临床推广。
[Abstract]:Objective: to observe the clinical effect of Jingu injury capsule combined with pillow reduction and functional exercise in the treatment of simple thoracolumbar compression fracture. Methods: from October 2014 to January 2016, 60 inpatients with simple thoracolumbar compression fracture in Ruikang Hospital affiliated to Guangxi University of traditional Chinese Medicine were randomly divided into treatment group (n = 30) and control group (n = 30). 30 cases in the experimental group were treated with oral Jin-Gu injury capsule combined with pillow reduction and functional exercise, while 30 cases in the control group were treated with compound Panax notoginseng capsule combined with pillow reduction and functional exercise. 14 days as a course of treatment, three consecutive courses of treatment. The pain VAS scores of the two groups were compared before treatment and 7 days, 14 days, 28 days and 42 days after treatment, and X-ray examination was performed before treatment and 14 days, 28 days and 42 days after treatment. The anterior edge height and kyphosis Cobb angle of the diseased vertebrae were measured and compared statistically to evaluate whether there was any difference in the therapeutic effect between the two groups before and after treatment. Results: the data were analyzed by SPSS22 statistical software. Before and after treatment, the pain score of VAS was decreased in the experimental group (P 鈮,

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